安氏Ⅰ[牙合]畸形患者OP-SN与上气道形态功能指标的相关性  

Correlation between OP-SN and upper airway morphological function indicators in patients with Angle ClassⅠmalocclusion deformity

作　　者：马骎 王华[2] 李诚 MA Qin;WANG Hua;LI Cheng(Department of Stomatology,Shenmu Hospital Affiliated to Northwestern University(Shenmu Hospital),Yulin 719300,Shaanxi,CHINA;Department of Otolaryngology,Shenmu Hospital Affiliated to Northwestern University(Shenmu Hospital),Yulin 719300,Shaanxi,CHINA)

机构地区：[1]西北大学附属神木医院(神木市医院)口腔科,陕西榆林719300 [2]西北大学附属神木医院(神木市医院)耳鼻喉科,陕西榆林719300

出　　处：《海南医学》2024年第1期96-100,共5页Hainan Medical Journal

基　　金：陕西省重点研发计划项目(编号:2022-2670)。

摘　　要：目的探讨安氏Ⅰ类[牙合]畸形患者[牙合]平面角度(OP-SN)与上气道形态功能相关指标的相关性。方法选取2020年11月至2021年9月西北大学附属神木医院(神木市医院)收治的90例安氏Ⅰ类畸形患者作为研究对象,按照OP-SN数值的不同将患者分为A组28例(10°≤OP-SN<15°)、B组36例(15°≤OP-SN<20°)及C组26例(20°≤OP-SN<25°)。比较三组患者的上气道形态功能相关指标,包括蝶鞍中心鼻根点连线与鼻根点上齿槽座点连线的夹角(SNA)、蝶鞍中心鼻根点连线与鼻根点下齿槽座点连线的夹角(SNB)鼻根点下齿槽座点连线与下齿槽座点上齿槽座点连线的夹角(ANB)、咽喉壁与软腭之间的距离(SPPS)、经颚垂点平行于眼耳的平面(MPS)、舌背与咽喉壁间距(IPS)、蝶鞍中心到后鼻棘距离(S-PNS)、鼻咽全长(Ba-PNS)、舌骨前上点与蝶鞍点到耳眼平面投影距离(JH);同时比较三组患者的总睡眠监测时间、平均血氧饱和度、最低血氧饱和度、氧减指数、平均脉率;采用Pearson分析法分析OP-SN与上气道形态功能指标及睡眠监测指标之间的相关性。结果三组患者的SPPS、MPS、IPS、S-PNS、Ba-PNS及JH比较差异均无统计学意义(P>0.05),而三组患者的SNA、SNB、ANB比较,ANB度数随平面角度升高而升高,SNA及SNB度数随平面角度升高而降低,差异均具有统计学意义(P<0.05)。经Pearson相关分析结果显示,OP-SN与SNA、SNB呈负相关(r=-0.869、-0.892,P<0.05),与ANB呈正相关(r=0.789,P<0.05),与SPPS、MPS、IPS、S-PNS、Ba-PNS、JH无明显相关性(P>0.05)。三组患者的总睡眠监测时间、平均血氧饱和度、最低血氧饱和度、氧减指数、平均脉率比较差异均无统计学意义(P>0.05);经Pearson相关分析结果显示,OP-SN与患者平均血氧饱和度、最低血氧饱和度、氧减指数、平均脉率均无明显相关性(P>0.05)。结论安氏Ⅰ类[牙合]畸形患者存在一定的[牙合]平面差异,这种差异与上气道功能Objective To explore the correlation between occlusal plane-sella nasion angle(OP-SN)and upper airway morphological function-related indicators in patients with Angle ClassⅠmalocclusion defor-mity.Methods Ninety patients with Angle ClassⅠmalocclusion deformity who were treated in Shenmu Hos-pital Affiliated to Northwestern University(Shenmu Hospital)between November 2020 and September 2021 were selected as the research subjects,and the patients were divided into 28 cases in group A(0°≤OP-SN<15°),36 cases in group B(15°≤OP-SN<20°),and 26 cases in group C(20°≤OP-SN<25°)according to the different OP-SN values.The upper airway morphological function was compared among the three groups,including sella-nasion-point A(SNA),sel-la-nasion-point B(SNB),A point-nasion-B(ANB),distance between pharyngeal wall and soft palate(SPPS),plane paral-lel to the eye and ear(MPS),distance between the dorsum of tongue and pharyngeal wall(IPS),distance from the center of sella turcica to the posterior nasal spine(S-PNS),total length of nasopharynx(Ba-PNS),and projection from the sella to the eye and ear plane(JH).The sleep monitoring was performed in the three groups of patients,and the total sleep monitoring time,average blood oxygen saturation,minimum blood oxygen saturation,oxygen desaturation index,and average pulse rate were compared among the three groups.The correlation between OP-SN and upper airway morpholog-ical function indicators and sleep monitoring indicators was analyzed by Pearson analysis.Results There was no statis-tically significant differences in SPPS,MPS,IPS,S-PNS,Ba-PNS,and JH among the three groups(P>0.05).However,comparison in SNA,SNB,and ANB among the three groups showed that the degree of ANB increased with the increase of occlusal plane angle,while the degree of SNA and SNB decreased with the increase of occlusal plane angle,with sta-tistically significant differences(P<0.05).Pearson correlation analysis showed that OP-SN was negatively correlated with SNA and SNB(r=-0.869,-0.892,P<0.05)and pos

关 键 词：安氏Ⅰ类[牙合]畸形 [牙合]平面角度 上气道形态功能 相关性 

分 类 号：R783[医药卫生—口腔医学]