阻塞性睡眠呼吸暂停综合征的口腔矫治器治疗  

Oral Appliances Therapy on Obstructive Sleep Apnea Syndrome

作　　者：李潇[1] 汪维健[1] 戴威林[1] 

机构地区：[1]广州军区广州总医院口腔科,广东广州510010

出　　处：《中国临床医学》2007年第4期587-588,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨口腔矫治器对阻塞性睡眠呼吸暂停综合征(OSAS)的治疗效果。方法:11例经多导睡眠图监测确诊OSAS的患者,用德国EBKODENT器材制作可调节型的软塑料口腔矫治器(OA),患者佩戴2～3个月后复查,了解患者的自觉症状,并再次进行多导睡眠图监测,比较治疗前后患者的睡眠结构以及呼吸情况的各项指标。结果:11例患者均感到夜间睡眠质量明显提高。患者的呼吸暂停时间和低通气时间在睡眠时间中所占的比例有明显下降,呼吸暂停指数和低通气指数也显著降低;而最低血氧饱和度和平均血氧饱和度则显著增高。患者的睡眠结构以及呼吸情况的各项指标有了明显的改善。结论:OA对于轻中度的OSAS具有明显的治疗效果。Objective：To study the clinical effect of oral appliances（OA） on obstructive sleep apnea syndrome（OSAS）. Methods：Eleven patients, were all diagnosed as OSAS by the polysomnography （PSG） monitoring analysis before using the oral appliance. After 2-3 months, all patients were monitored again with PSG. Results： All 11 patients felt sleeping quality improved. The ratios of sleep apnea time and hypopnoea time in sleeping time were decreased significantly. The average apnea index （AI） decreased from 35.72 to 13.00 （P〈0. 001）. The average hypopnoea index decreased from 6.02 to 1.54（P〈0. 001）. The lowest night oxygen saturation （SaO2） and average SaO2 increased from 69.80% and 90.40% to 86.80% and 94. 80% , respectively. Conclusion：OA had good treatment effects on patients with OSAS.

关 键 词：阻塞性睡眠呼吸暂停综合征 口腔矫治器 

分 类 号：R783.908[医药卫生—口腔医学]