青少年安氏Ⅱ类错■功能矫治前后呼吸睡眠监测及睡眠质量问卷分析  

Respiratory sleep monitoring and sleep quality questionnaire survey of ClassⅡmalocclusion adolescents before and after functional orthodontic treatment

作　　者：夏文倩 高美琴 顾鑫宇 陈楠 XIA Wen-qian;GAO Mei-qin;GU Xin-yu;CHEN Nan(Department of Orthodontics,Nantong Stomatological Hospital Affiliated to Nantong University,Nantong 226001,Jiangsu Province,China)

机构地区：[1]南通大学附属南通口腔医院正畸科,江苏南通226000

出　　处：《上海口腔医学》2024年第6期638-641,共4页Shanghai Journal of Stomatology

基　　金：南通市基础研究和民生科技计划指导性项目(JCZ21133,MSZ202201);南通市卫生健康委员会科研课题专项(MS2022095)。

摘　　要：目的:比较青少年安氏Ⅱ类错■功能矫治前后睡眠呼吸监测相关参数的变化以及睡眠质量。方法:选择48例青少年安氏Ⅱ类错■患者,进行功能性矫治器治疗。治疗前,治疗后1个月、10个月使用便携式睡眠呼吸监测仪检测睡眠状况,并应用匹兹堡睡眠质量指数量表进行问卷调查。比较患者3个节点监测的呼吸暂停低通气指数(apnea and hypopnea index,AHI)、阻塞性呼吸暂停次数(obstructive apnea index,OAI)、中枢性呼吸暂停次数(central apnea index,CAI)、低通气次数(number of hypoventilation,HI)、氧减指数(oxygen reduction index,ODI)、最低血氧指数(minimum oxygen index,LSpO_(2))及睡眠质量指数的差异。采用SPSS 16.0软件包对数据进行统计学分析。结果:功能性矫治器使用1个月后,AHI、HI、ODI与治疗前相比显著下降,LSpO_(2)显著升高(P<0.01),OAI和CAI与治疗前相比无显著差异(P>0.05);治疗后10个月的AHI、OAI、CAI、HI、ODI、LSpO_(2)与治疗前、治疗后1个月相比差异显著(P<0.01)。治疗后1个月与治疗前相比,患者睡眠时间、质量、效率以及睡眠障碍和日间功能障碍无显著差异(P>0.05),治疗后10个月与术前及术后1个月相比,相关睡眠质量得分有统计学差异(P<0.01)。AHI、OAI、HI、ODI、LSpO_(2)与患者睡眠质量呈正相关(P<0.01)。结论:对青少年安氏Ⅱ类错■行功能性矫治,可改善患者的睡眠呼吸状况,提高睡眠质量。PURPOSE:To compare the changes of sleep-breathing parameters and sleep quality before and after treatment of ClassⅡmalocclusion in adolescents.METHODS:Forty-eight adolescent patients were selected for functional orthodontic treatment.Portable sleep breathing monitor and Pittsburgh sleep quality index(PSQI)were used before treatment,1 month and 10 months after treatment,in order to compare the results of apnea and hypopnea index(AHI),obstructive apnea index(OAI),central apnea index(CAI),number of hypoventilation(HI),oxygen reduction index(ODI),minimum oxygen index(LSpO_(2))and sleep quality index.SPSS 16.0 software package was used for data analysis.RESULTS:After 1 month of functional appliance use,AHI,HI and ODI were significantly decreased than those before treatment,while LSpO_(2)was significantly increased(P<0.01),but there was no significant difference in OAI and CAI(P>0.05).AHI,OAI,CAI,HI,ODI and LSpO_(2)10 months after treatment were significantly different from those before and 1 month after treatment(P<0.01).The sleep duration,quality,efficiency,and sleep disturbance and daytime dysfunction were not different from one month than before treatment(P>0.05),and related sleep quality scores were different from ten months after treatment compared with pre-treatment and one month after treatment(P<0.01).AHI,OAI,HI,ODI and LSpO_(2)were positively correlated with sleep quality in patients(P<0.01).CONCLUSIONS:Functional treatment of ClassⅡadolescents can improve sleep breathing situation and sleep quality of patients.

关 键 词：青少年安氏Ⅱ类错■ 功能性矫治器 便携式睡眠监测仪 匹兹堡睡眠质量量表 

分 类 号：R783.5[医药卫生—口腔医学]