368例维汉族OSAHS男性上气道CT截面积与病情程度关系的对比研究

发布时间：2018-05-24 19:13

本文选题：睡眠呼吸暂停 + 阻塞性　；参考：《新疆医科大学》2012年硕士论文

【摘要】：目的：分析368例汉族和维吾尔族OSAHS男性患者一般情况、PSG、上气道多层螺旋截面积及与病情严重程度的关系的差别比较，为OSAHS疾病的诊断提供帮助。方法：经PSG确诊的278例新疆汉族男性OSAHS患者和90例维吾尔族男性OSAHS患者行平静呼吸时的上气道CT扫描，记录研究对象的一般情况,PSG监测指标，CT测量的上气道不同部位的最小截面积，，采用SPSS17.0对数据进行统计分析。结果：维、汉民族男性OSAHS患者身高、体重、体重指数的差异均有统计学意义(P值＜0.05或0.001)；按AHI病情分度，发现维汉男性OSAHS耳鼻喉住院患者主要为重度患者，主要集中在30～50岁；30～40岁这个年龄段和整个搜集的维汉男性OSAHS耳鼻喉住院患者病情分布差异均有统计学意义(P值＜0.05)；按最低动脉血氧饱和度病情分度，发现维汉男性OSAHS耳鼻喉住院患者主要为中度、重度患者，与以AHI病情分度相比，中度维汉男性OSAHS耳鼻喉住院患者均增加，同样主要集中在30～50岁;不同年龄段和整个搜集的维汉男性OSAHS耳鼻喉住院患者病情分布差异均无统计学意义(P值＞0.05)；维、汉民族男性OSAHS患者口咽腔最小截面积与AHI的大小均呈负相关(r值分别为-0.264、-0.216，P值分别为＜0.001、0.012)，与LSa02的大小均呈正相关(r值分别为0.256、0.235，P值分别为＜0.001、0.015)。结论：维吾尔族男性OSAHS患者口咽腔最小截面积与AHI、LSa02相关性稍微强与汉族；患者上气道CT测量二维指标可对OSAHS病情严重程度的预测提供一定的参考信息。
[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.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R766

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