阻塞性睡眠呼吸暂停综合征患儿面部形态和舌骨位置的头影测量研究  

Cephalometric study of facial morphology and hyoid bone position in children with obstructive sleep apnea syndrome

作　　者：潘利平[1] 张静[2] 林红艳[1] 张珂[1] 张凌云 柳帅 PAN Liping;ZHANG Jing;LIN Hongyan;ZHANG Ke;ZHANG Lingyun;LIU Shuai(Department of Otolaryngology,Anyang Sixth People′s Hospital,Anyang,Henan,455000;Department of Orthodontics,Anyang Sixth People′s Hospital,Anyang,Henan,455000)

机构地区：[1]河南省安阳市第六人民医院耳鼻咽喉科,河南安阳455000 [2]河南省安阳市第六人民医院口腔正畸科,河南安阳455000

出　　处：《实用临床医药杂志》2024年第2期88-91,100,共5页Journal of Clinical Medicine in Practice

基　　金：河南省安阳市科技计划项目(2022C01SF006)。

摘　　要：目的分析阻塞性睡眠呼吸暂停综合征(OSAS)患儿面部形态和舌骨位置的头影测量指标结果。方法随机选取78例OSAS患儿纳入OSAS组,另选取未接受过耳鼻喉科、正畸或语言治疗的78名健康体检儿童纳入健康对照组。2组儿童均接受耳鼻喉科评估和头影测量,且OSAS组患儿接受夜间多导睡眠描记(PSG)检查。结果面部头影测量结果显示,OSAS组面部前高度(N-Me)、面部前下高度(ANS-Me)均高于健康对照组,差异有统计学意义(P<0.05);OSAS组面部上前高度(N-ANS)、面部后部总高度(S-Go)与健康对照组比较,差异无统计学意义(P>0.05)。舌骨测量结果显示,OSAS组舌骨点至下颌平面的垂直距离(HyS)、舌骨体之最前上方至第三颈椎之最前下点的线性距离(C3-H)、舌骨最前点(Dh-H)、舌骨最前点至腭平面的垂直距离(HyMP)、舌骨最后点(Dv-H)均大于健康对照组,差异有统计学意义(P<0.05)。结论相较于健康儿童,OSAS患儿面部生长发育存在明显变化,表现为N-Me和ANS-Me增加,HyS、C3-H、HyMP、Dh-H、Dv-H增加。Objective To analyze the results of cephalometric indicators of facial morphology and hyoid bone position in children with obstructive sleep apnea syndrome(OSAS).Methods A total of 78 children with OSAS were randomly selected and included in OSAS group.Another 78 healthy children who had not received otolaryngology,orthodontics or speech therapy were selected as healthy control group.Children in both groups underwent otolaryngology evaluation and cephalometric measurement,and the OSAS group also underwent overnight polysomnography(PSG)examination.Results The cephalometric measurement results of the facial shape showed that the facial anterior height(N-Me)and facial anterior inferior height(ANS-Me)in the OSAS group were higher than those in the healthy control group(P<0.05).There were no significant differences in the facial anterior superior height(N-ANS)and facial posterior total height(S-Go)between the OSAS group and the healthy control group(P>0.05).The hyoid bone measurement results showed that the vertical distance from the hyoid bone point to the mandibular plane(HyS),the linear distance from the most anterior superior point of the hyoid bone to the most inferior point of the third cervical vertebra(C3-H),the anterior point of the hyoid bone(Dh-H),the vertical distance from the most anterior point of the hyoid bone to the palatal plane(HyMP),and the most posterior point of the hyoid bone(Dv-H)in the OSAS group were all greater than those in the healthy control group(P<0.05).Conclusion Compared with healthy children,there are significant changes in facial growth and development in children with OSAS,which are characterized by increased N-Me and ANS-Me,as well as increased HyS,C3-H,HyMP,Dh-H,and Dv-H.

关 键 词：阻塞性睡眠呼吸暂停综合征 面部形态 舌骨位置 头影测量 多导睡眠描记 

分 类 号：R816.98[医药卫生—放射医学] R783.5[医药卫生—临床医学] R56