半固定式矫治装置治疗阻塞性睡眠呼吸暂停综合征疗效观察  

Efficacy of half-fixed appliance to Obstructive Sleep Apnea Syndrome

作　　者：吴占敖[1] 刘永义[1] 刘姒[1] 宣志刚[1] 

机构地区：[1]中国人民解放军第三五九医院口腔科,江苏镇江212001

出　　处：《江苏大学学报（医学版）》2008年第3期242-243,247,共3页Journal of Jiangsu University：Medicine Edition

基　　金：国家自然科学基金资助项目(10272112)

摘　　要：目的:观察上颌牙合垫加Ⅱ类牵引下颌前移口腔矫治器治疗阻塞性睡眠呼吸暂停综合征(OSAS)的疗效。方法:使用上颌牙合垫加Ⅱ类牵引下颌前移口腔矫治器治疗阻塞性睡眠呼吸暂停综合征患者42例,3个月后复查主观症状、多导睡眠图(PSG)。结果:经矫治的42例患者的耐受率为90.5%,鼾声、睡眠憋醒、白日嗜睡症状明显好转。治疗前、后患者呼吸暂停指数、低通气指数、最低血氧饱和度指标变化差异有统计学意义(P<0.05)。结论:上颌牙合垫加Ⅱ类牵引下颌前移口腔矫治器是治疗OSAS的较好新方法。Objective ： To observe the efficacy of oral appliance （ OA ） of supramaxillary bite plate and mandibular antedisplacement with class Ⅱ traction to treat the obstructive sleep apnea syndrome （ OSAS）. Methods ： Forty two patients were treated with OA of supramaxillary bite plate and mandibular antedisplacement with class Ⅱ traction. The rational symptom and polysomnogram （PSG） were rechecked after three months. Results： The tolerant rate of OA of supramaxillary bite plate and mandibular antedisplacement with class Ⅱ traction and affiliated statistical patients was 96.4%. The symptoms such as feeling oppressed and awake from sleep followed snore, daytime lethargy were improved or disappeared. They became better obviously after treatment. Conclusion： OA of supramaxillary bite plate and mandibular antedisplacement with class Ⅱ traction was a better new method to OSAS.

关 键 词：口腔矫治器 阻塞性睡眠呼吸暂停综合征 多导睡眠图 

分 类 号：R783[医药卫生—口腔医学] R766.4[医药卫生—临床医学]