摘要
目的 :了解体位改变对阻塞性睡眠呼吸暂停低通气综合征 (OSAHS)患者上呼吸道形态的影响。方法 :经PSG确诊的OSAHS患者 31例 ,均为男性。以纤维内镜观察平静呼吸状态下 30°屈颈平卧位、平卧位和侧卧位时上呼吸道各平面形态的变化并照相 ,利用图像分析软件测量不同体位时上呼吸道各平面的横截面积、前后径、左右径 ,比较其差别。结果 :在OSAHS患者中 ,软腭后区上呼吸道横截面积、前后径 ,舌后区横截面积、左右径和前后径的测量值在 3种体位间的差异有统计学意义 ,软腭后区左右径在 3种体位间的差异无统计学意义。结论 :特定体位对患者上呼吸道形态的影响是OSAHS症状加重的基础。
Objective:To explore the effects of body posture on upper airway shapes in OSAHS patients.Method:Thirty-one male OSAHS patients were included in the study. The fibre endoscopic photos were taken on palate and lingua region upper airway at normal breath at supine with 30 degree neck flexion,supine and right lateral recumbent position, respectively. The cross section area and the dimensions of palate and lingua region upper airway were studied by running image tools software in computer.Result:In OSAHS patients,there were obviously difference in the area and arrowy dimension of palate airway among three posture,and so to in area,arrowy and coronary dimension of lingua airway.Conclusion:The study suggests that the body posture changes have obviously influence on upper airway, and the influence is the base of apnea increasing at special posture.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2004年第12期737-739,共3页
Journal of Clinical Otorhinolaryngology
基金
辽宁省卫生厅科技攻关项目 (No :96 80 2 0 0 8)
