下颌前伸矫治器对阻塞性睡眠呼吸暂停低通气综合征作用的研究进展  

Research progress on the treatment of obstructive sleep apnea and hypopnea syndrome with mandibular advancement device

作　　者：李德宏[1] 杨向红[1] 郭天文[2] 

机构地区：[1]昆明医学院附属延安医院口腔修复科,云南昆明650051 [2]第四军医大学口腔医学院口腔修复科,陕西西安710032

出　　处：《上海口腔医学》2010年第2期216-219,共4页Shanghai Journal of Stomatology

基　　金：云南省卫生厅和昆明医学院联合项目(2009CD205)~~

摘　　要：阻塞性睡眠呼吸暂停低通气综合征(OSAHS)临床表现为夜间频发的上气道阻塞和呼吸障碍,伴发日间嗜睡、疲倦等。病因主要包括肥胖、神经肌肉、上气道结构的变化等因素。对于患者上气道阻塞程度和位点的研究方法有多种,如X线头影测量、多层螺旋CT成像等。通过多平面重建技术建立上气道的三维结构,可以精确显示上气道的细微变化。下颌前伸矫治器是治疗轻、中度OSAHS的有效方法,通过前移下颌而使上气道特别是口咽部间隙增宽。本文对阻塞性睡眠呼吸暂停综合征(OSAHS)患者使用下颌前伸矫治器时上气道形状变化特点及其研究方法作一综述。Obstructive sleep apnea and hypopnea syndrome （OSAHS） is characterized by obstruction of upper airway and respiratory disturbance,excessive daytime sleepiness and tiredness.The possible causes are obesity,hypertension,and upper airway malformations,etc. The location and degree of upper airway structure narrowing in patients have been investigated in many ways,such as X-ray,multi-slices spiral computed tomography,etc. With multi-planar reconstruction technique,3-dimensional construction of upper airway can be established which shows the delicate changes of the upper airway structure. Mandibular advancement device is known as an effective treatment on mild and moderate OSAHS. By advancing the mandible forward,it can increase the space of upper airway,especially the oropharyngeal space. This paper reviewed the methods of investigating on OSAHS and the change of upper airway structure in OSAHS patients treated with mandibular advancement device.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 上气道三维结构 下颌前伸矫治器 

分 类 号：R766[医药卫生—耳鼻咽喉科]