RT期刊文章SR电子T1头部计量学异常在非肥胖和肥胖患者患有阻塞性睡眠呼吸暂停JF欧洲呼吸杂志JO EUR RESSIR J FD欧洲呼吸学会SP 403 OP 410 VO 13 IS 2 A1 Sakakibara，H A1 TONG，M A1 MATSUSHITA，M A1 MATSUSHITA，M A1 MATSUSHITA，188bet官网地址K a1 hirata，m a1 konishi，y a1 suetsugu，s yr 1999 ul //www.qdcxjkg.com/content/content/13/2/403.abstract ab ab ab ab ab ab ab ab ab ab ab ab ab abs This Work的目的是了解日语中日语中的测量表特征阻塞性睡眠呼吸暂停（OSA）的患者，并阐明了头部测量变量与呼吸暂停严重程度之间的关系。在37名健康男性和114名男性OSA患者中测量了48个头部计量变量，分为54个非肥胖（BMI指数（BMI）<27 kg X M（-2），apnoea-Hypopnoea index（AHI）+/- 16.1事件x H（-1））和60肥胖（BMI> or = 27 kg x m（-2），ahi = 45.6 +/- 28.0事件H（-1）组。在所有OSA患者和19个正常对照组中，均进行了诊断性多肌术。与BMI匹配的正常对照相比，非肥胖OSA患者显示出几种头部学缺陷：1）在颅碱基，上颌骨和下颌骨水平下的面部A-P距离降低，骨咽宽度降低；2）舌头的舌头扩大和较低的舌头偏移；3）柔软的口感肿大；4）舌骨下骨骨；5）在四个不同的水平下降低了上呼吸道宽度。 More extensive and severe soft tissue abnormalities with a few defects in craniofacial bony structures were found in the obese OSA group. For the non-obese OSA group, the stepwise regression model on AHI was significant with two bony structure variables as determinants: anterior cranial base length (S-N) and mandibular length (Me-Go). Although the regression model retained only linear distance between anterior vertebra and hyoid bone (H-VL) as an explainable determinant for AHI in the obese OSA group, H-VL was significantly correlated with soft tissue measurements such as overall tongue area (Ton), inferior tongue area (Ton2) and pharyngeal airway length (PNS-V). In conclusion, Japanese obstructive sleep apnoea patients have a series of cephalometric abnormalities similar to those described in Caucasian patients, and that the aetiology of obstructive sleep apnoea in obese patients may be different from that in non-obese patients. In obese patients, upper airway soft tissue enlargement may play a more important role in the development of obstructive sleep apnoea, whereas in non-obese patients, bony structure discrepancies may be the dominant contributing factors for obstructive sleep apnoea.