成人阻塞性睡眠呼吸暂停患者压膜式下颌前移矫治器治疗的评价研究  

Evaluation Study on the Treatment of Adult Obstructive Sleep Apnea Patients Using a Pressure Film Mandibular Advancement Appliance

作　　者：王丽娜 钟萍萍[3] WANG Li'na;ZHONG Pingping(The Graduate School of Fujian Medical University,Fuzhou 350122,China;Zhangzhou Second Hospital,Zhangzhou 363199,China;Affiliated Stomatological Hospital of Fujian Medical University,Fuzhou 350004,China)

机构地区：[1]福建医科大学研究生院,福州350122 [2]漳州市第二医院,漳州363199 [3]福建医科大学附属口腔医院,福州350004

出　　处：《中国医药指南》2024年第14期47-50,共4页Guide of China Medicine

摘　　要：目的评估压膜式下颌前移矫治器对成人阻塞性睡眠呼吸暂停患者的治疗效果。方法本研究选取于2023年1月—2023年8月期间就诊于漳州市第二医院应用压膜式下颌前移矫治器治疗轻中度睡眠呼吸暂停患者20例,以治疗前及治疗6个月后分为T0组和T1组,患者于两个时间段分别填写Epworth嗜睡量表(ESS)、多导睡眠监测(PSG)和头颅定位测量,以收集数据,并对测量结果进行对比分析。结果T1组患者ESS评分结果优于T0组(P<0.05);T1组呼吸紊乱指数(AHI)、每小时鼾声指标水平均低于T0组,最低血氧饱和度高于T0组(均P<0.05);T1组上气道间隙(SAS)、腭后气道间隙(RPA)、中气道间隙(MAS)、后气道间隙(PAS)等指标水平均长于T0组(均P<0.05)。结论患者戴用压膜式下颌前移矫治器后临床症状得到有效改善,呼吸紊乱指数下降,最低血氧饱和度上升,头颅定位测量上气道宽度增加,是治疗轻中度OSA的有效措施。Objective To evaluate the therapeutic effect of the pressure film mandibular advancement appliance on adult patients with obstructive sleep apnea.Methods In this study,20 cases of patients with mild-to-moderate sleep apnea who attended the Second Hospital of Zhangzhou City for the treatment of mild-to-moderate sleep apnea with the application of the compression-film mandibular advancement appliance during the period of January 2023-August 2023 were selected to be divided into group T0 and group T1 before treatment and after 6 months of treatment,patients completed the Epworth Sleepiness Scale,polysomnography,and cephalometric positioning measurements at two separate time periods for data collection and comparative analysis of the measurements.Results The results of ESS score of patients in T1 group were better than those in T0 group(P<0.05);the levels of respiratory disturbance index(AHI)and hourly snoring index in T1 group were lower than those in T0 group,and the minimum oxygen saturation was higher than that in T0 group(all P<0.05);the index levels of upper airway gap(SAS),retropalatal airway gap(RPA),middle airway gap(MAS),and posterior airway gap(PAS)were longer in the T1 group than in the T0 group(all P<0.05).Conclusions Patients wearing pressure film mandibular advancement appliances showed effective improvement in clinical symptoms,decreased respiratory disturbance index,increased minimum oxygen saturation,and increased upper airway width measured by cephalometric localization,which is an effective measure for the treatment of mild-to-moderate OSA.

关 键 词：阻塞性睡眠呼吸暂停 压膜式下颌前移矫治器 气道宽度 

分 类 号：R766[医药卫生—耳鼻咽喉科]