本文選題：睡眠呼吸暫停 + 阻塞性　； 參考：《新疆醫(yī)科大學(xué)》2012年碩士論文

【摘要】：目的：分析368例漢族和維吾爾族OSAHS男性患者一般情況、PSG、上氣道多層螺旋截面積及與病情嚴(yán)重程度的關(guān)系的差別比較，為OSAHS疾病的診斷提供幫助。方法：經(jīng)PSG確診的278例新疆漢族男性O(shè)SAHS患者和90例維吾爾族男性O(shè)SAHS患者行平靜呼吸時的上氣道CT掃描，記錄研究對象的一般情況,PSG監(jiān)測指標(biāo)，CT測量的上氣道不同部位的最小截面積，，采用SPSS17.0對數(shù)據(jù)進行統(tǒng)計分析。結(jié)果：維、漢民族男性O(shè)SAHS患者身高、體重、體重指數(shù)的差異均有統(tǒng)計學(xué)意義(P值＜0.05或0.001)；按AHI病情分度，發(fā)現(xiàn)維漢男性O(shè)SAHS耳鼻喉住院患者主要為重度患者，主要集中在30～50歲；30～40歲這個年齡段和整個搜集的維漢男性O(shè)SAHS耳鼻喉住院患者病情分布差異均有統(tǒng)計學(xué)意義(P值＜0.05)；按最低動脈血氧飽和度病情分度，發(fā)現(xiàn)維漢男性O(shè)SAHS耳鼻喉住院患者主要為中度、重度患者，與以AHI病情分度相比，中度維漢男性O(shè)SAHS耳鼻喉住院患者均增加，同樣主要集中在30～50歲;不同年齡段和整個搜集的維漢男性O(shè)SAHS耳鼻喉住院患者病情分布差異均無統(tǒng)計學(xué)意義(P值＞0.05)；維、漢民族男性O(shè)SAHS患者口咽腔最小截面積與AHI的大小均呈負(fù)相關(guān)(r值分別為-0.264、-0.216，P值分別為＜0.001、0.012)，與LSa02的大小均呈正相關(guān)(r值分別為0.256、0.235，P值分別為＜0.001、0.015)。結(jié)論：維吾爾族男性O(shè)SAHS患者口咽腔最小截面積與AHI、LSa02相關(guān)性稍微強與漢族；患者上氣道CT測量二維指標(biāo)可對OSAHS病情嚴(yán)重程度的預(yù)測提供一定的參考信息。
[Abstract]:Objective: to analyze the general condition of 368 male patients with OSAHS in Han and Uygur nationality and to compare the relationship between the area of multilayer spiral section of the upper airway and the severity of the disease so as to provide help for the diagnosis of OSAHS disease. Methods: two hundred and eighty-eight Xinjiang Han male OSAHS patients and 90 Uygur male OSAHS patients diagnosed by PSG underwent upper airway CT scanning while breathing peacefully. The general situation of the subjects was recorded and the minimum cross-sectional area of different parts of the upper airway was measured by CT. The data were statistically analyzed by SPSS17.0. Results: there were significant differences in height and body mass index (P < 0. 05 or P < 0. 001) between Chinese and Uygur male patients with OSAHS. According to the degree of AHI, it was found that the main inpatients of Uygur male OSAHS ear, nose and throat were severe. There were significant differences in the disease distribution between the 30 ~ 50 and 30 ~ 40 years old and the whole Uygur male OSAHS ear, nose and throat inpatients with statistical significance (P < 0.05), according to the lowest arterial oxygen saturation, It was found that Uygur male OSAHS patients were mainly moderate and severe. Compared with the AHI grade, the number of OSAHS otorhinolarynx inpatients in moderate Uygur male increased, and the same was mainly concentrated at 30 ~ 50 years old. There was no significant difference in the distribution of OSAHS otolaryngology in Uygur male patients of different ages and in the whole collection (P > 0.05). There was a negative correlation between the minimum area of oropharynx cavity and the size of AHI in Han nationality male patients with OSAHS. The values of r were -0.264 ~ -0.216U P < 0.001 ~ 0.012, respectively, and there was a positive correlation with the size of LSa02 (r = 0.2566) and 0.235% (P < 0.0010.015), respectively. Conclusion: the minimum area of oropharynx cavity in Uygur male patients with OSAHS is slightly correlated with that of Han nationality, and the two-dimensional CT measurement of upper airway can provide some reference information for predicting the severity of OSAHS.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R766

【參考文獻】

相關(guān)期刊論文 前10條

1 張曉惠;孫曉萍;常玉蘭;;螺旋CT及電子喉鏡在OSAHS中的臨床應(yīng)用研究[J];包頭醫(yī)學(xué)院學(xué)報;2010年06期

2 尹國平;葉京英;常青林;;阻塞性睡眠呼吸暫停低通氣綜合征患者咽腔容積測量[J];中國耳鼻咽喉頭頸外科;2008年02期

3 陳懷宏;葉輝;葉盛鋒;申海燕;林琳;;改良Epworfh嗜睡量表的可行性分析[J];中國耳鼻咽喉頭頸外科;2008年03期

4 李兵;張峰;胡國華;;大鼠海馬CA3區(qū)突觸素與慢性間歇性缺氧[J];中國耳鼻咽喉頭頸外科;2009年04期

5 呂毛古;繆東生;羅偉;艾書躍;趙穎;吳建偉;;阻塞性睡眠呼吸暫停低通氣綜合征上氣道螺旋CT測量指標(biāo)比較[J];中國耳鼻咽喉頭頸外科;2009年07期

6 趙瑋;路虹;顧朝輝;劉雪峰;;OSAHS患者血液流變學(xué)變化的臨床研究[J];中國耳鼻咽喉頭頸外科;2009年08期

7 張向前;李濤平;陸兵勛;潘速躍;羅一峰;呂田明;劉曉加;馮媛;尹瑞雪;;阻塞性睡眠呼吸暫停綜合征腦白質(zhì)損害磁共振彌散張量成像研究[J];廣東醫(yī)學(xué);2009年05期

8 劉志明;任慶云;王寶山;薛海濤;田君海;趙君祿;;纖維喉鏡與模擬內(nèi)鏡技術(shù)對阻塞性睡眠呼吸暫停低通氣綜合征的診斷價值[J];臨床耳鼻咽喉頭頸外科雜志;2008年06期

9 蔣桃根;晁杰偉;曹劍;王永田;施麗華;;誘導(dǎo)睡眠下電子喉鏡在阻塞性睡眠呼吸暫停低通氣綜合征定位診斷中的臨床應(yīng)用[J];臨床耳鼻咽喉頭頸外科雜志;2008年06期

10 周玫;江滿杰;程友;李澤卿;黃偉;薛飛;王秋萍;;螺旋CT在診斷阻塞性睡眠呼吸暫停低通氣綜合征患者咽部阻塞平面中的應(yīng)用[J];臨床耳鼻咽喉頭頸外科雜志;2008年13期

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