中国耳鼻咽喉头颈外科2016，Vol.23Issue(11)：661-664,4.DOI:10.16066/j.1672-7002.2016.11.012
上气道CT测量在持续气道正压通气治疗阻塞性睡眠呼吸暂停低通气综合征的意义
Correlation analysis between upper airway CT and continuous positive airway pressure in patients with obstructive sleep apnea hypopnea syndrome
李全胜 1肖洋 2王军 2亢丹2
作者信息
- 1. 盘锦市中心医院耳鼻咽喉科，辽宁 盘锦124010
- 2. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科，耳鼻咽喉头颈科学教育部重点实验室 首都医科大学，北京 100730
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摘要
Abstract
[ABSTRACT]OBJECTIVETo investigate the relationship among the data of the structure of upper airway, <br> polysomnography(PSG) and automatic continuous positive airway pressure(auto-CPAP) treatment in patients with obstructive sleep apnea hypopnea syndrome(OSAHS). METHODSThirty four cases of OSAHS patients came to Beijing Tongren Hospital between June and December in 2015 were included in this study. Spiral CT scanned from nasopharyngeal to the level of the cricoid cartilage continuously were performed. The data of district diameter and left-right diameter of the levels of hard palate, uvula tip, tongue and epiglottis under calm breathing were collected. The correlation of the data of auto-CPAP ventilation in the treatment of OSAHS with the data of structure of the upper airway was analyzed. RESULTSThe level of uvula tip was the narrowest level of upper airway (11.10±3.77) mm in left-right diameter and (8.54±3.44) mm in district diameter). AHI got negative correlation with the average oxygen saturation (r=-0.724), the distance of inferior margin of the mandibular bone to the hyoid bone (r=-0.755) and the left-right diameter of the level of hard palate (r=-0.404). The lowest oxygen saturation(LSaO2) was positively correlated with the average oxygen saturation (r=0.624) and height (r=0.501), but negatively correlated with the left-right diameter of the level of tongue (r=-0.468). The treatment pressure of auto-CPAP with 90% effective was positively correlated with body mass index (r=0.406) and negatively with LSaO2(r=-0.384) and left-right diameter of the level of hard palate (r=-0.367).CONCLUSIONThe CT of upper airway can provide information for predicting the severity of OSAHS and treatment pressure of auto-CPAP. The left-right diameter of the level of hard palate affects the AHI and the pressure of CPAP respectively.关键词
体层摄影术,X线计算机/连续气道正压通气/睡眠呼吸暂停,阻塞性/舌骨Key words
Tomography, X-Ray Computed/Continuous Positive Airway Pressure/Sleep Apnea, Obstructive/Hyoid Bone引用本文复制引用
李全胜,肖洋,王军,亢丹..上气道CT测量在持续气道正压通气治疗阻塞性睡眠呼吸暂停低通气综合征的意义[J].中国耳鼻咽喉头颈外科,2016,23(11):661-664,4.
