OSAHS患者与个别正常[牙合]志愿者上气道二维三维测量的差异性研究  

A comparative study of two-dimensional and three-dimensional measurements of upper airway in OSAHS patients and individuals with normal occlusion

作　　者：孟怡彤 张晓东[1] MENG Yitong;ZHANG Xiaodong(Department of Stomatology,General Hospital of Shenyang Military Area,Shenyang 110000)

机构地区：[1]辽宁省沈阳军区总医院口腔科,110000

出　　处：《现代口腔医学杂志》2018年第5期269-273,共5页Journal of Modern Stomatology

基　　金：辽宁省自然科学基金(2015020428)

摘　　要：目的研究男性个别正常牙合志愿者和OSAHS患者的CBCT进行上气道的二维三维测量,并且所有测量项目与PSG中的AHI和SPO_2进行相关性分析。方法将个别正常牙合志愿者和OSAHS患者的CCB导入Winceph8.0中进行上气道矢状面的距离测量;将个别正常牙合志愿者和OSAHS患者的CBCT分别导入mimics17.0中进行上气道体积和横截面积的测量;采用SPSS24.0统计软件,进行独立t检验来检验不同测量方法的统计学差异;person相关性分析测量指标与AHI、SPO_2的相关性。结果 OSAHS患者和个别正常牙合志愿者的CCB分别导入Winceph 8.0中进行上气道距离的测量,检查结果符合正态分布后,取三次测量结果的平均值,再对它们进行独立t检验,PNS-UPW、SPP-SPPW、UMPW、TB-TPPW有统计学差异;其CBCT分别导入mimics17.0中进行上气道体积和横截面积的测量;数据符合正态分布后,取三次测量结果的平均值,再进行独立t检验,发现所有的实验结果P均有统计学差异;用person相关性分析法将OSAHS患者的测量指标与PSG中AHI值、SPO_2值进行相关性分析,结果显示AHI值与S5、S6、U-MPW、TB-TPPW呈负相关,SPO_2值与V3、S3、H-FH呈正相关、与H-C3呈负相关,且有统计学差异。结论 OSAHS患者和个别正常牙合的二维软组织测量、三维体积、横截面积和表面积的测量均有统计学差异;PSG中AHI值与口咽和舌咽段表面积、U-MPW、TB-TPPW的距离呈负相关,SPO_2值与舌咽段气道体积和横截面积、舌骨的水平距离呈正相关,与舌骨垂直距离呈负相关。Objective To study the two-dimensional and three-dimensional t of upper airway in CBCT of male normal occlusion volunteers and OSAHS patients, and analyze the correlation between all measurements and AHI and SPO2 in PSG. Methods The individual normal occlusion of volunteers and patients With OSAHS CCB into Winceph8.0 in upper airway sagittal distance measurement; upper airway volume and cross-sectional area measurements in the individual normal occlusion volunteers and OSAHS patients CBCT were introduced into mimics 17.0; using SPSS24.0 statistical software, independent t test to test the differences of measurement method; correlation between person index and AHI correlation analysis, SPO2. Results OSAHS patients and individual normal occlusion CCB volunteers were introduced into Winceph 8 in upper airway distance measurement, the results are consistent with normal distribution, the average of three measurements, then the independent t test on them, PNS-UPW, SPP-SPPW, U-MPW and TB-TPPW have significant difference; upper airway volume and the cross-sectional area of the measurement in CBCT were introduced into mimicsl7.0; data to conform to normal distribution, the average of three measurements, then the independent t test, found that all the experimental results of P were statistically significant difference; analysis method measurement index and PSG OSAHS in patients with AHI and SPO2 values of correlation analysis by the person phase, the results showed that AHI was negatively correlated with $5, $6, U-MPW, TB-TPPW; SPO2 with $3, H-FH and V3 values were positively correlated, negatively correlated with H-C3, and there were significant differences. Conclusion The measurements of two dimensional soft tissue, three-dimensional volume, cross section area and surface area of OSAHS patients and individual normal occlusion were statistically different. The AHI value in PSG was negatively correlated with the surface area of oropharynx and glossopharyngeal segment, the distance between U-MPW and TB- TPPW, and the SPO2 v

关 键 词：个别正常牙合 阻塞性睡眠呼吸暂停综合征 锥形束CT 

分 类 号：R783.5[医药卫生—口腔医学]