成人平面与上气道形态功能关系的临床研究  

Clinical study of the relationship between adult dental occlusion plane and upper airway morphologic and function

作　　者：张丹[1,2] 安文秀 赵爱齐 陈正岗 张月[1] 张强[1] 刘文君[3] 郭庆圆[1,4] ZHANG Dan;AN Wen-xiu;ZHAO Ai-qi;CHEN Zheng-gang;ZHANG Yue;ZHANG Qiang;LIU Wen-jun;GUO Qing- yuan(Department of Stomatology, Affiliated Qingdao Municipal Hospital, Qingdao University, Shandong Qingdao 266071, China;Graduate School of Dental Medicine, Dalian Medical University, Liaoning Dalian 116044, China;Department of Otorhinolaryngology, Affiliated Qingdao Municipal Hospital, Qingdao University, Shandong Qingdao 266071, China;Institute of Stomatology, Chinese PLA General Hospital, Beijing 100853, China)

机构地区：[1]青岛大学附属青岛市市立医院口腔医学中心,山东青岛266071 [2]大连医科大学研究生院口腔医学院,辽宁大连116044 [3]青岛大学附属青岛市市立医院耳鼻咽喉科,山东青岛266071 [4]中国人民解放军总医院口腔基础医学研究所,北京100853

出　　处：《中国医刊》2018年第6期639-643,共5页Chinese Journal of Medicine

基　　金：国家自然科学基金青年项目(11602122);中国博士后科学基金面上项目[2017M623396(博士后编号:45708)];青岛市市立医院(集团)博士科研启动基金(Ⅷ院博031)

摘　　要：目的探讨平面与上气道形态功能以及舌骨相对位置的关系。方法于2017年9-12月选取青岛大学80名骨性Ⅰ类且符合纳入标准的大学生作为研究对象,按照平面角度(OP-SN)数值(10°≤OP-SN<15°、15°≤OP-SN<20°、20°≤OP-SN<25°)分为A、B、C 3组,各组分别为18、42、20名。对3组进行方差分析和多元线性回归分析,比较不同组间的X线片测量结果及睡眠检测结果差异和颅颌面结构与上气道形态功能的线性关系。结果 OP-SN与SNA角(由蝶鞍中心、鼻根点及上牙槽座点所构成的角)、SNB角(由蝶鞍中心、鼻根点及下牙槽座点所构成的角)呈负相关(r分别为-0.501、-0.780,P<0.01);OP-SN与ANB角(由上牙槽座点、鼻根点与下牙槽座点构成的角)呈正相关(r=0.582,P<0.01);OP-SN与其他测量值间不存在相关性(P>0.05)。结论不同矢状骨面型的平面存在显著差别且Ⅱ类、Ⅰ类、Ⅲ类错颌畸形的平面角度呈递减趋势。Objective Through clinical trials to research the relationship of the occlusion plane and airway function and the location of tongue. Method Collect 80 class Ⅰobjects and conforms to the research into the exclusion criteria.According to the OP-SN numerical grouping.Such as 10°≤OP-SN15°, 15°≤OP-SN20°, 20°≤OP-SN25°. The number of each group was 18,42,20. Variance analysis and multiple linear regression analysis, compare the differences between different groups and cranial and maxillofacial structure and airway function on linear relationship. Result There was a negative correlation relationship between OP-SN and SNA、SNB（P〈0.01）, r was 0.501 and 0.780 respectively; there was a positive correlation between OP-SN and ANB（P〈0.01）, r was 0.01; there was no relationship between OP-SN and other measurements（P〉0.05） and the differences were not statistically significant. Conclusion Different sagittal bone of the occlusion plane is different and the occlusion plane of class Ⅱ, Ⅰ, Ⅲ micro maxillary showed a trend of decline.

关 键 词：上气道 口腔正畸学 错颌畸形 [牙合]平面 

分 类 号：R783[医药卫生—口腔医学]