安阳市无阻塞性呼吸暂停综合征儿童上气道及舌骨正常参考值范围研究  

Study of Normal Reference Range of Children Upper Airway and Hyoid with No Obstructive Sleep Apnea Hypoventilation Syndrome （OSAHS） in Anyang

作　　者：张静[1] 魏林[1] 李九军[1] 孙留振[1] 梁宏[1] 韩绍丰 李鹏举[1] 

机构地区：[1]安阳市第六人民医院(口腔医院)正畸科,河南安阳455000

出　　处：《医学临床研究》2015年第12期2327-2329,共3页Journal of Clinical Research

基　　金：安阳市科技局基金资助项目（20142020）

摘　　要：【目的】建立安阳市无阻塞性呼吸暂停综合征（OSAHS）儿童上气道及舌骨正常参考值范围。【方法】选择2012年1月至2014年12月在安阳市口腔医院正畸科就诊的无OSAHS临床症状的400例儿童作为研究对象（观察组），另外选取150例上下颌骨矢状向及垂直向位置正常，为骨性Ⅰ类均角关系为对照组，两组皆拍摄X线数字头颅侧位片。【结果】两组[上齿槽座点（A）-鼻根点（N）-下齿槽座点（B）角，ANB角]和角面突度、下颌平面角（MP-SN角）比较均无显著性差异（P〉0．05）。两组男女后鼻棘-咽顶点距（PNS-R）、后鼻棘-Ad2点距（PNS-Ad2）、后鼻棘-上咽壁距（PNS-UPW）、舌根后-舌根后咽壁距（TB-TPPW）、会厌谷-下咽壁距（V-LPW）比较均无显著性差异（P〉0．05），男性软腭后-软腭后咽壁距（SPP-SPPW）、悬雍垂尖-中咽壁距（U-MPW）显著低于女性（P〈0．05）。两组男女舌骨-蝶鞍水平距（H-S）比较无显著性差异（P〉0．05），男性舌骨-眼耳平面距（H—FH）、舌骨-下颌平面距（H-MP）和舌骨-颈椎前平面距（H-VI）显著高于女性（P〈0．05）。【结论】本研究建立了安阳市恒牙初期无OSAHS儿童上气道及舌骨的正常参考值范围；男性比女性舌骨位置较低且靠前，上气道矢状径软腭中后气道间隙较小。[Objective]The establishment of normal reference range of children upper airway and hyoid with no obstructive sleep apnea hypoventilation syndrome （OSAHS） in Anyang city.[Methods]400 children with no OSAHS clinical symptoms in the orthodontic Department of the Stomatology Hospital of Anyang city from January 2012 to December 2014 were selected as the research subjects （observation group） In addition, 150 cases with normal jaws（upper and lower） both sagittal and vertical performing an average angle relationship （osseous Type Ⅰ） were selected as the control group. The two groups were all shot with cephalometric roentgenogram measurement（CRM）.[Results] The comparison between[subspinale（A）- Nasal root point （N） - supramental（B）angle, Angle ANB], the protrusion and mandibular plane angle （MP-SN angle） of the two groups had no significant difference （ P 〉0.05）. PNS-R,PNS-Ad2.PNS-UPW.TB-TPPW and V-LPW of the two groups both for male and female had no significant difference （ P 〉0.05）. The soft palate backward,SPPSPPW and U-MPW of male were significantly lower than those of female （ P 〈0.05）. Hyoid-sella level distance （H-S） of the two groups of the male and the female showed no significant difference （ P 〈0.05）. H- FH, H-MP and H-Viol the male were significantly higher than those of the female（ P 〈0.05）.[Conclusion] This study establishes the normal reference range of the upper airway and hyoid bone of children＇s early permanent dentition in Anyang city; Hyoid position in the male is lower and more forward than that in the female ; The airway clearance after airway sagittal diameter of the soft palate of the male is smaller than that of male. Sagittal dimensions of upper airway soft palate in the posterior airway space of the male are smaller than those of the female.

关 键 词：睡眠呼吸暂停综合征 气管 舌骨 参考值 

分 类 号：R725.6[医药卫生—儿科]