舌骨位置、下颌体长及人体测量指标对北印度打鼾患者睡眠指标的影响
Impact of Hyoid Position, Mandible Body Length and Anthropometric Measurements on Sleep Indices in Patients with Snoring in North Indian Population.
作者信息
Kakkar Vikas, Sarin Vanita, Dhawan Amit, Kaur Rasleen, Juneja Ateev
机构信息
Department of Surgery, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, India.
Department of Otorhinolaryngology, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, India.
出版信息
J Maxillofac Oral Surg. 2022 Mar;21(1):253-259. doi: 10.1007/s12663-020-01505-w. Epub 2021 Feb 2.
INTRODUCTION
In Indian population, the estimated prevalence of OSA is 7.5% to 13.5%. Craniofacial anatomical variations and obesity are the major risk factors for OSA. Among the craniofacial anatomy, the neck circumference and abnormal craniofacial morphology play an important role in the pathogenesis of OSA. Obesity is the major risk factor for which waist and hip circumference and BMI are considered.
AIM
The aim of this paper was to evaluate the impact of hyoid position, mandible body length (MBL) and anthropometric measurements on sleep indices in patients with snoring in North Indian population.
METHODS
In this cross-sectional study, we analyzed the position of the hyoid, mandible body length and anthropometric measurements, of 104 patients attending ENT OPD with the complaint of snoring and excessive daytime sleepiness. All subjects underwent a full overnight polysomnography. The position of the hyoid, MBL and the anthropometric measurements were compared with the sleep architecture of the subjects, and a value < 0.05 was considered significant.
RESULTS
A strong positive correlation is seen between the position of the hyoid, MBL and anthropometric measurements on the sleep indices in this study. Pearson 2-tailed correlation was evaluated, and upon analysis, it was found that at significance level of 0.01, obesity (BMI) is strongly correlated with overall AHI with correlation coefficient of 0.926, whereas AHI in supine position was having coefficient of 0.837 and AHI on right side and left side was almost same 0.597 and 0.575, respectively. Similarly WC is strongly correlated with AHI and RDI, having coefficient of 0.930 with both. NC and HC also showed strong positive correlation with overall AHI and RDI having correlation coefficient of 0.893, 0.926 with AHI and 0.893, 0.926 with RDI, respectively. The MBL also showed a strong positive correlation with AHI and RDI with correlation coefficient of 0.994 in both. The position of the hyoid also showed a strong positive correlation with AHI and RDI.
CONCLUSION
Results indicated that significant positive correlation was found between position of the hyoid, MBL and anthropometric measurements on the sleep indices in patients with snoring in North Indian population.
引言
在印度人群中，阻塞性睡眠呼吸暂停（OSA）的估计患病率为7.5%至13.5%。颅面解剖变异和肥胖是OSA的主要危险因素。在颅面解剖结构中，颈围和异常的颅面形态在OSA的发病机制中起重要作用。肥胖是主要危险因素，需考虑腰围、臀围和体重指数（BMI）。
目的
本文旨在评估舌骨位置、下颌体长（MBL）和人体测量指标对北印度打鼾患者睡眠指标的影响。
方法
在这项横断面研究中，我们分析了104例因打鼾和白天过度嗜睡而就诊于耳鼻喉科门诊的患者的舌骨位置、下颌体长和人体测量指标。所有受试者均接受了整夜多导睡眠监测。将舌骨位置、MBL和人体测量指标与受试者的睡眠结构进行比较，P值<0.05被认为具有统计学意义。
结果
在本研究中，舌骨位置、MBL和人体测量指标与睡眠指标之间存在强正相关。评估了Pearson双尾相关性，分析发现，在显著性水平为0.01时，肥胖（BMI）与总体呼吸暂停低通气指数（AHI）强相关，相关系数为0.926，而仰卧位AHI的系数为0.837，右侧和左侧AHI几乎相同，分别为0.597和0.575。同样，腰围（WC）与AHI和呼吸紊乱指数（RDI）强相关，两者的系数均为0.930。颈围（NC）和头围（HC）也与总体AHI和RDI呈强正相关，与AHI的相关系数分别为0.893、0.926，与RDI的相关系数分别为0.893、0.926。MBL与AHI和RDI也呈强正相关，两者的相关系数均为0.994。舌骨位置也与AHI和RDI呈强正相关。
结论
结果表明，北印度打鼾患者的舌骨位置、MBL和人体测量指标与睡眠指标之间存在显著正相关。
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