舌體大小與OSAHS的相關性分析
發(fā)布時間：2019-02-14 20:45
【摘要】：目的:通過超聲測量舌體大小,探討舌體大小與OSAHS的相關性。方法:隨機選取就診于皖南醫(yī)學院弋磯山醫(yī)院并經(jīng)PSG檢查確診的OSAHS患者102例作為實驗組,無打鼾健康人66例作為對照組。分別記錄或測量兩組人群的一般資料:年齡、性別、身高、體重、BMI、頸圍、腰圍、腹圍;使用超聲測量兩組人群的在平臥嗅物位正中矢狀面的舌體大小相關數(shù)據(jù),包括舌體最大厚度、舌體四點(前緣、前中1/3點、中后1/3點、后緣)厚度、舌前最大軟組織厚度、舌底長度、舌背長度、該矢狀面所顯示的舌體截面積及其周長大小、舌背最厚點與后緣間距、頦舌距(頦骨與舌骨之間的距離)。使用SPSS20.0統(tǒng)計分析軟件對全部數(shù)據(jù)進行處理分析。結果:正常組和實驗組患者的BMI、頸圍、腰圍、腹圍有顯著統(tǒng)計學差異(P0.01),年齡無統(tǒng)計學差異;舌體最大厚度、舌體前緣厚度、舌前中1/3點處厚度、舌后緣厚度、舌背長度、舌面積、舌周長、舌前最大軟組織厚度、舌背最厚點與后緣間距等九項數(shù)據(jù)有統(tǒng)計學差異,其中除舌背長度P0.05,其他八項數(shù)據(jù)P0.01。但頦舌距、C(中后1/3點)處厚度、舌底長度無統(tǒng)計學差異。在實驗組,BMI、頸圍、腰圍、腹圍、舌體最大厚度、舌體前緣厚度、舌前中1/3點處厚度、舌周長、舌前最大軟組織厚度、舌背最厚點與后緣間距與AHI呈顯著正相關,P0.01;舌面積AHI呈相對弱正相關,P0.05。舌后緣厚度和舌背長度與AHI無明顯相關性,P0.05。BMI、頸圍、腰圍、腹圍、舌體最大厚度、舌體前緣厚度、舌前中1/3點處厚度、舌背長度、舌周長、舌前最大軟組織厚度、舌背最厚點與后緣間距與LSaO2呈顯著負相關,P0.01;舌面積與LSaO2呈相對弱負相關,P0.05;舌后緣厚度與LSaO2無明顯相關性,P0.05。結論:1.舌體大小與OSAHS發(fā)病密切相關。2.超聲測量的舌體最大厚度、舌體前緣厚度、舌前中1/3點處厚度、舌面積、舌周長、舌前最大軟組織厚度、舌最厚點與后緣間距與OSAHS相關,可作為預測OSAHS患者舌后區(qū)呼吸道阻塞的客觀指標。
[Abstract]:Objective: to study the correlation between tongue body size and OSAHS by ultrasonic measurement. Methods: 102 OSAHS patients diagnosed by PSG were randomly selected as experimental group and 66 healthy persons without snoring as control group. The general data of the two groups were recorded or measured: age, sex, height, weight, BMI, neck circumference, waist circumference, abdominal circumference; The data of tongue body size in the median sagittal plane of the supine olfactory object in both groups were measured by ultrasound, including the maximum thickness of the tongue body, the thickness of the tongue body at four points (front edge, front middle 1 / 3 point, middle and posterior third point, posterior edge). The maximum thickness of the anterior soft tissue, the length of the sublingual base, the length of the dorsal part of the tongue, the area and circumference of the body of the tongue displayed on the sagittal plane, the distance between the thickest point and the posterior margin of the dorsal part of the tongue, and the distance between the chin and the hyoid (the distance between the mental bone and the hyoid). Use SPSS20.0 statistical analysis software to process and analyze all the data. Results: the BMI, neck circumference, waist circumference and abdominal circumference were significantly different between the normal group and the experimental group (P0.01), but there was no significant difference in age. The maximum thickness of the body of tongue, the thickness of the front edge of the body of the tongue, the thickness of the anterior third point of the middle part of the tongue, the thickness of the posterior edge of the tongue, the length of the back of the tongue, the area of the tongue, the circumference of the tongue, the maximum thickness of the soft tissue in the front of the tongue, the distance between the thickest point of the dorsal part of the tongue and the posterior Among them, except tongue back length P0.05, the other eight data P0.01. However, there was no significant difference in the thickness and the length of the sublingual between genioglossus and the posterior 1 / 3 point of, C (. In the experimental group, the neck circumference, waist circumference, abdominal circumference, maximum thickness of the body of tongue, the thickness of the front edge of the tongue, the thickness of the anterior third point of the front of the tongue, the circumference of the tongue, the maximum thickness of the soft tissue of the front of the tongue, the thickest point of the back of the tongue and the distance between the posterior margin and the posterior edge were positively correlated with AHI. P0.01; The AHI of tongue area was relatively weakly positive correlation (P0.05). There was no significant correlation between the thickness of the posterior margin of the tongue and the length of the back of the tongue (P0.05.BMI, neck circumference, waist circumference, abdominal circumference, maximum thickness of the tongue body, the thickness of the front edge of the tongue, the thickness of the anterior third point of the tongue, the length of the dorsal part of the tongue, the circumference of the tongue. The maximum thickness of soft tissue in front of tongue and the distance between the thickest point and posterior margin of tongue were negatively correlated with LSaO2 (P0.01). There was a relatively weak negative correlation between tongue area and LSaO2 (P 0.05), but there was no significant correlation between tongue thickness and LSaO2 (P 0.05). Conclusion: 1. The body size of tongue is closely related to the onset of OSAHS. 2. The maximum thickness of the body of tongue, the thickness of the front edge of the body of tongue, the thickness of the anterior third point of the anterior part of the tongue, the area of the tongue, the circumference of the tongue, the maximum thickness of the soft tissue in front of the tongue, and the distance between the thickest point of the tongue and the posterior edge were correlated with OSAHS. It can be used as an objective index to predict respiratory tract obstruction in posterior lingual area of OSAHS patients.
【學位授予單位】：皖南醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R766
本文編號：2422590
[Abstract]:Objective: to study the correlation between tongue body size and OSAHS by ultrasonic measurement. Methods: 102 OSAHS patients diagnosed by PSG were randomly selected as experimental group and 66 healthy persons without snoring as control group. The general data of the two groups were recorded or measured: age, sex, height, weight, BMI, neck circumference, waist circumference, abdominal circumference; The data of tongue body size in the median sagittal plane of the supine olfactory object in both groups were measured by ultrasound, including the maximum thickness of the tongue body, the thickness of the tongue body at four points (front edge, front middle 1 / 3 point, middle and posterior third point, posterior edge). The maximum thickness of the anterior soft tissue, the length of the sublingual base, the length of the dorsal part of the tongue, the area and circumference of the body of the tongue displayed on the sagittal plane, the distance between the thickest point and the posterior margin of the dorsal part of the tongue, and the distance between the chin and the hyoid (the distance between the mental bone and the hyoid). Use SPSS20.0 statistical analysis software to process and analyze all the data. Results: the BMI, neck circumference, waist circumference and abdominal circumference were significantly different between the normal group and the experimental group (P0.01), but there was no significant difference in age. The maximum thickness of the body of tongue, the thickness of the front edge of the body of the tongue, the thickness of the anterior third point of the middle part of the tongue, the thickness of the posterior edge of the tongue, the length of the back of the tongue, the area of the tongue, the circumference of the tongue, the maximum thickness of the soft tissue in the front of the tongue, the distance between the thickest point of the dorsal part of the tongue and the posterior Among them, except tongue back length P0.05, the other eight data P0.01. However, there was no significant difference in the thickness and the length of the sublingual between genioglossus and the posterior 1 / 3 point of, C (. In the experimental group, the neck circumference, waist circumference, abdominal circumference, maximum thickness of the body of tongue, the thickness of the front edge of the tongue, the thickness of the anterior third point of the front of the tongue, the circumference of the tongue, the maximum thickness of the soft tissue of the front of the tongue, the thickest point of the back of the tongue and the distance between the posterior margin and the posterior edge were positively correlated with AHI. P0.01; The AHI of tongue area was relatively weakly positive correlation (P0.05). There was no significant correlation between the thickness of the posterior margin of the tongue and the length of the back of the tongue (P0.05.BMI, neck circumference, waist circumference, abdominal circumference, maximum thickness of the tongue body, the thickness of the front edge of the tongue, the thickness of the anterior third point of the tongue, the length of the dorsal part of the tongue, the circumference of the tongue. The maximum thickness of soft tissue in front of tongue and the distance between the thickest point and posterior margin of tongue were negatively correlated with LSaO2 (P0.01). There was a relatively weak negative correlation between tongue area and LSaO2 (P 0.05), but there was no significant correlation between tongue thickness and LSaO2 (P 0.05). Conclusion: 1. The body size of tongue is closely related to the onset of OSAHS. 2. The maximum thickness of the body of tongue, the thickness of the front edge of the body of tongue, the thickness of the anterior third point of the anterior part of the tongue, the area of the tongue, the circumference of the tongue, the maximum thickness of the soft tissue in front of the tongue, and the distance between the thickest point of the tongue and the posterior edge were correlated with OSAHS. It can be used as an objective index to predict respiratory tract obstruction in posterior lingual area of OSAHS patients.
【學位授予單位】：皖南醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R766
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