阻塞性睡眠呼吸暂停综合征患者舌牙悬雍垂关系的变化  

The relationship of lingua and uvula in OSAS

作　　者：李树华[1] 石洪金[1] 余建晖[1] 董卫东[1] 王桂茹[1] 于永强[1] 

机构地区：[1]解放军沈阳军区总医院耳鼻咽喉科,沈阳110015

出　　处：《临床耳鼻咽喉科杂志》2002年第12期674-675,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :探讨阻塞性睡眠呼吸暂停综合征 (OSAS)患者舌体与下齿牙合面、舌根和悬雍垂相互关系的变化在OSAS的发病意义。方法 :经PSG确诊的OSAS患者共 2 1例 ,单纯打鼾 2 5例 ,正常成年人 30例 ,观测舌体与下齿的关系和悬雍垂与舌根的关系 ,比较 3组间的差别。结果 :正常对照组舌体大多低于下齿牙合面 ,张口平静呼吸可见悬雍垂尖端 ;单纯打鼾组多数舌体与下齿牙合面平齐 ,需发音时才可见到悬雍垂尖端 ;OSAS组患者舌体多高出下齿牙合面 ,发音时亦难见到悬雍垂尖端。 3组间比较差异显著。结论 :舌体增大、软腭组织增厚与悬雍垂延长导致咽部狭窄是OSAS发生的重要原因。Objective:To observe the relationship between lingual base and uvula, the relationship between lingua and jaw dentition in normal adults, snorers and patients with obstructive sleep apnea syndrome (OSAS) and to study the difference of the relationships among them. Method: 21 patients with OSAS, 25 snorer and 30 normal adults were included in the study. The relationship between lingua and uvula and the relationship between lingual base and jaw dentition were observed. The difference of the relationships among the OSAS patients, snorers and normal adults were studied.Result: Among the OSAS patients, snorer and normal adults, there are obviously difference in the relationship between lingua and uvula and the relationships between lingual base and jaw dentition. In normal adults, the lingua below to jaw dentition and the uvula is visible at opening of mouth; in snorers, the lingua match the jaw dentition and the uvula is visible at pronunciation; in OSAS patients, the lingua tower above the jaw dentition and the uvula is sightless at pronunciation.Conclusion: The study suggests that the enlarge of lingua and uvula be the one of etiology of OSAS.

关 键 词：阻塞性睡眠呼吸暂停综合征 舌 悬雍垂 

分 类 号：R766.43[医药卫生—耳鼻咽喉科]