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基于侧位头颅测量研究的打鼾和非打鼾患者咽腔气道的比较:一项病例对照研究。

Comparison of the pharyngeal airway in snoring and non-snoring patients based on the lateral cephalometric study: A case-control study.

机构信息

Department of Oral and Maxillofacial Radiology, Dental Caries Prevention Research Center, Qazvin University of Medical Sciences, Iran.

Department of Oral and Maxillofacial Medicine, Dental Caries Prevention Research Center, Qazvin University of Medical Sciences, Iran.

出版信息

Dent Med Probl. 2023 Jan-Mar;60(1):121-126. doi: 10.17219/dmp/154776.

Abstract

BACKGROUND

Normal airways are a key factor during the craniofacial growth of the young. Therefore, sleep-disordered breathing (SDB) without treatment can have harmful consequences for development and health.

OBJECTIVES

This study aimed to evaluate the cephalometric characteristics in non-snoring individuals and snoring subjects, and investigate differences in the pharyngeal airway space between the 2 groups.

MATERIAL AND METHODS

This case-control study included 70 patients aged over 18 years, selected from a radiology center. The patients were divided into 2 groups: case (35 patients with a history of habitual snoring); and control (35 healthy patients). The Berlin sleep questionnaire was administered to the parents of the patients. The nasopharyngeal airway was measured according to the analysis of Linder-Aronson (1970), and 4 indices were measured and analyzed in each of the lateral cephalometric radiographs.

RESULTS

No statistically significant differences were observed in the pharyngeal measurements between the 2 groups, although all means in the control group were higher than in the experimental group. However, there was a significant relationship between gender and the Ba-S-PNS and PNS-AD2 indices.

CONCLUSIONS

Although the patients with nocturnal snoring had smaller airway dimensions, their pharyngeal measurements were not significantly different from the control group.

摘要

背景

正常气道是儿童颅面生长的关键因素。因此,未经治疗的睡眠呼吸障碍(SDB)可能对发育和健康产生有害影响。

目的

本研究旨在评估非打鼾个体和打鼾受试者的头影测量特征,并研究两组咽气道空间的差异。

材料和方法

这项病例对照研究纳入了 70 名年龄在 18 岁以上的患者,这些患者均来自放射学中心。将患者分为两组:病例组(35 名有习惯性打鼾史的患者);对照组(35 名健康患者)。向患者的父母发放柏林睡眠问卷。根据 Linder-Aronson(1970 年)的分析测量鼻咽气道,在每个侧位头颅侧位片上测量并分析 4 个指标。

结果

两组间的咽部测量值无统计学差异,尽管对照组的所有平均值均高于实验组。然而,性别与 Ba-S-PNS 和 PNS-AD2 指数之间存在显著关系。

结论

尽管夜间打鼾的患者气道尺寸较小,但他们的咽部测量值与对照组无显著差异。

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