Xu H J, Gao Z, Chen H, Yu H, Jia R F, Wang S L, Peng H, Yang Y, Chen K, Huang W N
Department of Otorhinolaryngology,Beijing Hospital,Beijing,100730,China.
Department of Anesthesiology,Beijing Hospital.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Jul 5;30(13):1058-1062. doi: 10.13201/j.issn.1001-1781.2016.13.013.
To investigate the main factors affecting the source of snoring sound of snoring patients.Seventy-three patients with either simple snoring or obstructive sleep apnea-hypopnea syndrom(AHI≤40) underwent routine ENT examination,CT scanning(in awake condition) and drug-induced sleep endoscopy.The sources of snoring sound were observed.The neck circumference,body mass index and CT data were measured.The sources of snoring sound of the 73 cases were divided into three types in general: palatal fluttering based group(Group Ⅰ),lateral wall vibration based group(Group Ⅱ) and palatal fluttering together with vibration of lateral wall based group(Group Ⅲ).The minimum lateral caliber of retropalatal region and retroglossal region,the ratio of minimum anteroposterior/ lateral caliber of the two regions,the thickness of pharyngeal lateral wall had statistical differences.The main influencing factors on the source of snoring sound between Group Ⅱ and Group Ⅰ were the ratio of minimum anteroposterior/lateral caliber of retropalatal region and the mean thickness of pharyngeal lateral wall.The influencing factor between Group Ⅲ and Group Ⅰ was the mean thickness of pharyngeal lateral wall.The ratio of minimum anteroposterior/lateral caliber of retropalatal region and the mean thickness of pharyngeal lateral wall are the main factors affecting the source of snoring sound of snoring patients.
探讨影响打鼾患者鼾声来源的主要因素。73例单纯打鼾或阻塞性睡眠呼吸暂停低通气综合征患者（呼吸暂停低通气指数≤40）接受了常规耳鼻喉检查、清醒状态下的CT扫描及药物诱导睡眠内镜检查。观察鼾声来源，测量颈围、体重指数及CT数据。73例患者的鼾声来源总体分为三种类型：腭部扑动为主型（Ⅰ组）、侧壁振动为主型（Ⅱ组）和腭部扑动合并侧壁振动型（Ⅲ组）。腭后区和舌后区的最小横径、两区最小前后径/横径比值、咽侧壁厚度存在统计学差异。Ⅱ组与Ⅰ组之间影响鼾声来源的主要因素是腭后区最小前后径/横径比值和咽侧壁平均厚度。Ⅲ组与Ⅰ组之间的影响因素是咽侧壁平均厚度。腭后区最小前后径/横径比值和咽侧壁平均厚度是影响打鼾患者鼾声来源的主要因素。
