阻塞性睡眠呼吸暂停对胸主动脉和主肺动脉影响的CT评估研究  

CT Assessment of the Effects of Obstructive Sleep Apnea on the Thoracic Aorta and Main Pulmonary Artery

作　　者：常海婷 岳军艳[1] 张晓艳 贾慧茹 李向飞 瓮军 CHANG Hai-ting;YUE Jun-yan;ZHANG Xiao-yan;JIA Hui-ru;LI Xiang-fei;WENG Jun(Department of Radiology,The First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453000,Henan Province,China;Department of Medical Technology,Yuncheng Nursing Vocational College,Yuncheng 044000,Shanxi Province,China;Department of Medical Imaging,Shanxi Incaier General Hospital,Yuncheng 044000,Shanxi Province,China;Department of Otorhinolaryngology,Head and Neck Surgery,Shanxi Incaier General Hospital,Yuncheng 044000,Shanxi Province,China;Department of Respiratory Medicine,Kailuan General Hospital,Tangshan 063001,Hebei Province,China)

机构地区：[1]新乡医学院第一附属医院放射科,河南新乡453000 [2]运城护理职业学院医学技术系,山西运城044000 [3]山西盈康一生总医院医学影像科,山西运城044000 [4]山西盈康一生总医院耳鼻咽喉头颈外科,山西运城044000 [5]开滦总医院呼吸科,河北唐山063001

出　　处：《中国CT和MRI杂志》2025年第1期92-94,共3页Chinese Journal of CT and MRI

基　　金：河北省2024年度医学科学研究课题计划(20242166)。

摘　　要：目的 探究CT评估阻塞性睡眠呼吸暂停(OSA)对胸主动脉和肺主动脉影响。方法 回顾60名OSA患者CT扫描前后一年内的AA、DTA和MPA,进行单变量和多变量分析,并对22名无合并症的参与者进行分析,后者根据睡眠参数分为亚组,并在亚组间进行比较。结果 所有OSA患者中,氧饱和度低于90%的时间的对数(CT90)显著预测了AA和MPA的大小(P<0.05)。在无合并症的患者中,氧饱和度下降指数和最低氧饱和度与AA和DTA的大小有中等程度的相关性(P<0.01)。在这一组中,氧饱和度下降指数大于30或最低氧饱和度小于81%的个体具有更大的AA和DTA尺寸(P<0.05)。结论在OSA患者中,氧饱和度低于90%的时间影响AA和MPA的大小。在无合并症的患者中,氧饱和度下降指数和最低氧饱和度与AA和DTA的大小有中等程度的相关性。无合并症的参与者中,氧饱和度下降指数大于30或最低氧饱和度小于81%的个体具有更大的AA和DTA。Objective To explore the effects of CT in the evaluation of obstructive sleep apnea(OSA)on thoracic aorta and pulmonary aorta.Methods The AA,DTA,and MPA of 60 OSA patients within one year before and after CT scan were reviewed for univa riate and multiva riate analyses,and 22 participants without comorbidities were analyzed and divided into subgroups based on sleep parameters and compared between subgroups.Results In all OSA patients,the logarithm of time with oxygen saturation below90%(CT90)significa ntly predicted the size of AA and MPA(P<0.05).In patients without comorbidities,oxygen desaturation index and minimum oxygen saturation were moderately correlated with the size of AA and DTA(P<0.01).In this group,individuals with an oxygen satu ration decline index greater than30 or a minimum oxygen saturation of less than 81%had larger AA and DTA sizes(P<0.05).Conclusion In OSA patients,the du ration of oxygen satu ration below 90%affects the size of AA and MPA.In patients without comorbidities,oxygen desaturation index and minimum oxygen saturation were moderately correlated with the size of AA and DTA.Among pa rticipants without comorbidities,individuals with an oxygen satu ration decline index greater than 30 or a minimum oxygen satu ration of less than 81%had greater AA and DTA.

关 键 词：阻塞性睡眠呼吸暂停 CT评估 胸主动脉 肺主动脉 

分 类 号：R322.35[医药卫生—人体解剖和组织胚胎学]