戴用义齿对无牙颌患者睡眠呼吸的影响  

Effects of wearing dentures on sleep breathing among edentulous people: a preliminary study

作　　者：邹东[1] 董霄松[2] 韩芳[2] 潘韶霞[1] 冯海兰[1] 

机构地区：[1]北京大学口腔医学院.口腔医院修复科,北京100081 [2]北京大学人民医院呼吸科,北京100044

出　　处：《北京大学学报（医学版）》2014年第2期299-301,共3页Journal of Peking University:Health Sciences

摘　　要：目的:探讨戴用义齿对无牙颌患者睡眠呼吸的影响。方法:对9位无牙颌受试者进行多导睡眠仪(polysomnogram,PSG)监测自身对照睡眠研究,一夜不戴义齿,另一夜戴用义齿,比较患者呼吸暂停低通气指数(apnea and hypopnea index,AHI)、最低血氧饱和度(L-SpO2)、晨起血压等指标。结果:9位无牙颌受试者中,佩戴义齿较不戴义齿AHI增加的有8人,减少的有1人;不戴义齿睡眠时,9位受试者的平均AHI为8.82,戴用义齿后AHI增加至11.72,差异有统计学意义(P<0.05);而L-SpO2及晨起血压差异无统计学意义(P>0.05)。结论:无牙颌人群在睡眠时戴用义齿可能会增加睡眠呼吸暂停低通气发生的频次。Objective：To investigate the effects of wearing dentures on sleep breathing among edentulous people. Methods： Nine edentulous people were recruited to participate in this selfcontrolled case series clinical study. Polysomnogram （PSG） was carried out on two consecutive nights, on one night the patients slept wearing dentures, and on the other without dentures. The indexes such as apnea and hy- popnea index （AHI） , L-SpO2, and morning blood pressure etc. were compared. Results： Among the nine edentulous people, eight showed a higher AHI when they slept with dentures, and only one showed a lower AHI. The average AHI of the nine edentulous people was 8.82 without dentures and 11.72 with dentures, which meant that AHI was significantly higher when the edentulous people slept with dentures in their mouths （ P 〈 0.05 ）. While no significant differences were found in the score of L-SpO2 and morning blood pressures （ P 〉 0.05 ）. Conclusion ： Wearing dentures might lead to an increase of AHI during sleep among edentulous people.

关 键 词：睡眠呼吸暂停综合征 颌 无牙 义齿 

分 类 号：R783[医药卫生—口腔医学]