首页|张口位在儿童阻塞性睡眠呼吸暂停低通气综合征中的应用价值

张口位在儿童阻塞性睡眠呼吸暂停低通气综合征中的应用价值

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目的探讨张口位在儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)中的应用价值。方法对儿童OSAHS患者常规拍摄鼻咽侧位片及吞钡后仰卧张口位片,从中选出单纯扁桃体肥大37例,测量双扁桃体最小间距,并与对应的睡眠呼吸暂停低通气指数(AHI)进行对照分析。结果 AHI轻度组双扁桃体最小间距为4.27±0.06mm,中度组为2.88±0.10mm,重度组为1.6±0.14mm。三组间双扁桃体间距有统计学差异(P <0.05)。结论 OSAHS严重程度与双扁桃体间距大小有相关性,张口位在评估OSAHS严重程度方面有重要价值。
Application Value of Open-mouth in Children with Obstructive Sleep Apnea Hypopnea Syndrom
Objective To explore application value of open-mouth in children with obstructive sleep apnea hypopnea syndrom. Methods Children with obstructive sleep apnea hypopnea syndrom were taken by nasopharyngeal lateral side position and supine open-mouth position after barium swallow. We choose 37 cases with pure tonsil hypertrophy, measure the minimum distance of two tonsillars, and then compare with the corresponding apnea hypopnea index. Results The minimum distance of two tonsillars of mild AHI group was 4.31±1.27mm, moderate group was 2.92± 0.87mm, severe group was 1.51±0.49mm. The minimum distance of two tonsillars of 3 groups have obvious statistical significance(P <0.05). Conclusion There is correlation between severity of OSAHS and the minimum distance of two tonsillars, Open-mouth position has important value in assessing the severity of OSAHS.

OSAHSChildTonsilMouth-openHypertrophy

冯中全、洪斌、卫华、王琳、蒋忠仆

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475000 河南省开封市中心医院影像科

阻塞性睡眠呼吸暂停低通气综合征 儿童 张口位 扁桃体 肥大

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(12)
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