双板矫治器治疗阻塞性睡眠呼吸暂停综合征的研究  

Treatment of OSAS with modified twin-block advancement appliances

作　　者：贾培增[1] 傅民魁[1] 曾祥龙[1] 

机构地区：[1]北京大学口腔医学院正畸科,100081

出　　处：《中华口腔医学杂志》2005年第1期42-45,共4页Chinese Journal of Stomatology

摘　　要：目的　介绍一种上下颌分体式的双板矫治器 ,探讨应用该矫治器治疗阻塞性睡眠呼吸暂停综合征 (OSAS)的效果。方法　为 2 9例OSAS患者制作双板矫治器 ,戴用矫治器前后进行多导睡眠监测对比疗效 ;治疗前后进行标准化的问卷调查 ,记录患者症状的变化及口颌系统的不适感和副作用。结果　与戴用矫治器前比较 ,2 6例的呼吸暂停低通气指数下降了 5 0 %以上 ,客观有效率为89 7% ;呼吸暂停指数和低通气指数分别降低 74 39%和 4 7 94 % (P <0 0 1) ,夜间最低血氧饱和度明显升高 (P <0 0 1)。戴用矫治器初期不适症状主要为唾液增多及晨起后短暂的颞下颌关节和牙齿的酸胀感 ,一周内不适感基本消失。结论　双板矫治器是治疗轻、中度OSAS的有效方法 。Objective To introduce a new modified twin block advancement appliance and investigate the effects on respiratory variables in patients with OSAS.Methods 29 patients with OSAS participated in the study and were fitted with modified twin block appliances to hold the mandible in an anterior and inferior position. Polysomnography was performed with and without appliance insertion. And questionnaires were used for registration of patients subjective symptoms. Pair t analysis was used to evaluate the effects of appliances in patients with OSAS.Results 26 patients responded to the appliance therapy. Apnea hypopnea index, apnea index and hypopnea index were reduced significantly ( P <0 01). Lowest arterial oxygen saturation improved significantly ( P <0 01). Discomfort with mandibular advancement disappeared within one week.Conclusions Modified twin block advancement appliance is a conservative, successful treatment alternative that could benefit patients suffered from OSAS.

关 键 词：矫治器 治疗 OSAS 阻塞性睡眠呼吸暂停综合征 患者 副作用 下颌 结论 有效方法 问卷调查 

分 类 号：R783.5[医药卫生—口腔医学] R766.43[医药卫生—临床医学]