舌体大小与OSAHS的相关性分析

发布时间：2019-02-14 20:45

【摘要】：目的:通过超声测量舌体大小,探讨舌体大小与OSAHS的相关性。方法:随机选取就诊于皖南医学院弋矶山医院并经PSG检查确诊的OSAHS患者102例作为实验组,无打鼾健康人66例作为对照组。分别记录或测量两组人群的一般资料:年龄、性别、身高、体重、BMI、颈围、腰围、腹围;使用超声测量两组人群的在平卧嗅物位正中矢状面的舌体大小相关数据,包括舌体最大厚度、舌体四点(前缘、前中1/3点、中后1/3点、后缘)厚度、舌前最大软组织厚度、舌底长度、舌背长度、该矢状面所显示的舌体截面积及其周长大小、舌背最厚点与后缘间距、颏舌距(颏骨与舌骨之间的距离)。使用SPSS20.0统计分析软件对全部数据进行处理分析。结果:正常组和实验组患者的BMI、颈围、腰围、腹围有显著统计学差异(P0.01),年龄无统计学差异;舌体最大厚度、舌体前缘厚度、舌前中1/3点处厚度、舌后缘厚度、舌背长度、舌面积、舌周长、舌前最大软组织厚度、舌背最厚点与后缘间距等九项数据有统计学差异,其中除舌背长度P0.05,其他八项数据P0.01。但颏舌距、C(中后1/3点)处厚度、舌底长度无统计学差异。在实验组,BMI、颈围、腰围、腹围、舌体最大厚度、舌体前缘厚度、舌前中1/3点处厚度、舌周长、舌前最大软组织厚度、舌背最厚点与后缘间距与AHI呈显著正相关,P0.01;舌面积AHI呈相对弱正相关,P0.05。舌后缘厚度和舌背长度与AHI无明显相关性,P0.05。BMI、颈围、腰围、腹围、舌体最大厚度、舌体前缘厚度、舌前中1/3点处厚度、舌背长度、舌周长、舌前最大软组织厚度、舌背最厚点与后缘间距与LSaO2呈显著负相关,P0.01;舌面积与LSaO2呈相对弱负相关,P0.05;舌后缘厚度与LSaO2无明显相关性,P0.05。结论:1.舌体大小与OSAHS发病密切相关。2.超声测量的舌体最大厚度、舌体前缘厚度、舌前中1/3点处厚度、舌面积、舌周长、舌前最大软组织厚度、舌最厚点与后缘间距与OSAHS相关,可作为预测OSAHS患者舌后区呼吸道阻塞的客观指标。
[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.
【学位授予单位】：皖南医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R766

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