CAJ | 학술논문

　　目的探讨张口位在儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)中的应用价值。方法对儿童OSAHS患者常规拍摄鼻咽侧位片及吞钡后仰卧张口位片，从中选出单纯扁桃体肥大37例，测量双扁桃体最小间距，并与对应的睡眠呼吸暂停低通气指数(AHI)进行对照分析。结果 AHI轻度组双扁桃体最小间距为4.27±0.06mm，中度组为2.88±0.10mm，重度组为1.6±0.14mm。三组间双扁桃体间距有统计学差异(P <0.05)。结论 OSAHS严重程度与双扁桃体间距大小有相关性，张口位在评估OSAHS严重程度方面有重要价值。
　　목적탐토장구위재인동조새성수면호흡잠정저통기종합정(OSAHS)중적응용개치。방법대인동OSAHS환자상규박섭비인측위편급탄패후앙와장구위편，종중선출단순편도체비대37례，측량쌍편도체최소간거，병여대응적수면호흡잠정저통기지수(AHI)진행대조분석。결과 AHI경도조쌍편도체최소간거위4.27±0.06mm，중도조위2.88±0.10mm，중도조위1.6±0.14mm。삼조간쌍편도체간거유통계학차이(P <0.05)。결론 OSAHS엄중정도여쌍편도체간거대소유상관성，장구위재평고OSAHS엄중정도방면유중요개치。
Objective To explore application value of open-mouth in children with obstructive sleep apnea hypopnea syndrom. Methods Children with obstructive sleep apnea hypopnea syndrom were taken by nasopharyngeal lateral side position and supine open-mouth position after barium swallow. We choose 37 cases with pure tonsil hypertrophy, measure the minimum distance of two tonsillars, and then compare with the corresponding apnea hypopnea index. Results The minimum distance of two tonsillars of mild AHI group was 4.31±1.27mm, moderate group was 2.92± 0.87mm, severe group was 1.51±0.49mm. The minimum distance of two tonsillars of 3 groups have obvious statistical significance(P <0.05). Conclusion There is correlation between severity of OSAHS and the minimum distance of two tonsillars, Open-mouth position has important value in assessing the severity of OSAHS.