颈长与阻塞性睡眠呼吸暂停综合征之间的相关性探讨

Relationship between neck length and obstructive sleep apnea syndrome

目的通过测量并分析正中颈长(MNL)和侧方颈长(LNL)来探讨颈长与阻塞性睡眠呼吸暂停综合征(OSAS)之间的相关性。方法选取在健康体检中心进行查体的270例受检者,测量MNL、LNL与下颌舌骨高度(MHL),分析颈长与OSAS之间的相关性。结果男性习惯性打鼾者的侧方颈长身高比(LNL/H)较正常男性小,差异有显著性(P<0.05),女性习惯性打鼾者的LNL/H较正常女性小,差异无显著性(P>0.05)。男性、女性习惯性打鼾者的MNL较正常者短,差异无显著性(P>0.05)。男性打鼾影响他人的MNL短于正常男性,差异无显著性(P>0.05);女性打鼾影响他人的MNL短于正常女性,差异有显著性(P<0.05)。结论打鼾与较短的MNL之间存在相关性。

Objective To explore the correlation between neck length and obstructive sleep apnea syndrome（OSAS）through the measurement and analysis of midline neck length（MNL） and lateral neck length（LNL）.Method A total of 270 subjects aged 47.5±8.1 years who visited health examination center of Qingdao Municipal Hospital for physical examination from 2013 January to July 2015.The study participants consisted of 192 men with a mean age of 48.3±7.2 years and 78 women with a mean age of 46.8±9.1 years,excluding patients with depression and sleep disorders.Measuring MNL,LNL and lower margin of the mandible to the upper margin of the hyoid bone length（MHL）with using chi square test and t-test,at the same time explore the correlation between neck length and OSAS.Result Male habitual snorers＇ lateral neck length height ratio（LNL/H） compared with the females＇,the difference is statistically significant（P〈0.05）,women＇s LNL/H with habitual snorers are smaller than the other women,which was not statistically significant（P〉0.05）.There was no significant difference between male and female＇s MNL（P〉0.05）.The MNL of men snoring bad enough to annoy others was shorter than the other male subjects,which was not statistically significant（P〉0.05）.The MNL of women snoring bad enough to annoy others was significantly shorter in the other female subjects（P〈0.05）.Conclusion There is a correlation between snoring and short MNL.