口面肌功能训练对鼾声患者鼾声指标及睡眠质量的影响  

The effect of orofacial muscle functional training on snoring indicators and sleep quality in patients with snoring

作　　者：王小清 王钰彧 仇金玮 许金侠 朱梅[1] WANG Xiaoqing;WANG Yuyu;QIU Jinwei;XU Jinxia;ZHU Mei(Department of Otorhinolaryngology&Head and Neck Surgery,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院耳鼻咽喉头颈外科,北京100050

出　　处：《山东大学耳鼻喉眼学报》2025年第2期101-107,共7页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的 探讨通过口面肌功能训练对鼾声患者鼾声指标及睡眠质量的影响。方法 研究对象为首都医科大学附属北京友谊医院收治的单纯性鼾症、上气道阻力综合征及阻塞性睡眠呼吸暂停综合征(obstructive sleep apnea syndrome, OSA)患者80例,随机分为对照组(40例)、观察组(40例)。对照组患者进行常规干预,观察组患者实施口面肌功能训练,对比2组患者鼾声相关指标、睡眠质量、嗜睡情况及焦虑、抑郁情绪,评估口面肌功能训练对鼾声的干预效果。结果 干预4周、8周,观察组鼾声指数显著低于对照组(t=-2.353,-3.806;P=0.021,P<0.001);观察组鼾声响度均低于对照组,其中干预8周差异有统计学意义(t=-1.045,-2.602;P=0.299,P=0.011);观察组鼾声总数均低于对照组,其中干预8周差异有统计学意义(t=-0.868,-2.545;P=0.388,0.013);观察组ESS评分显著低于对照组(t=-3.229,-6.925;P=0.002,P<0.001);观察组PSQI评分显著低于对照组(t=-2.067,-4.446;P=0.042,P<0.001);观察组SAS(t=-2.366,-4.580;P=0.021,P<0.001)、SDS(t=-5.103,-7.069;均P<0.001)评分显著低于对照组。结论 鼾声患者应用口面肌功能训练进行干预,随干预时间延长,患者鼾声指数、鼾声响度、鼾声总数均明显下降,睡眠质量提升、日间嗜睡情况得到改善,焦虑、抑郁情绪缓解。可尝试于鼾声患者干预中推广本方法。Objective Exploring the effects of snoring indicators and sleep quality in snoring patients through orofacial muscle functional training.Methods The study subjects were 80 patients diagnosed with simple snoring,upper airway resistance syndrome and obstructive sleep apnoea(OSA)admitted to Beijing Friendship Hospital,Capital Medical University.These patients were randomly divided into a control group(n=40)and an observation group(n=40).The control group received conventional interventions,while the observation group received training in oral and facial muscle function.The study compared the two groups on parameters related to snoring,sleep quality,daytime sleepiness,and anxiety and depression levels to assess the effectiveness of oral and facial muscle function training in reducing snoring.Results After 4 and 8 weeks of intervention,the snoring index(t=-2.353,-3.806;P=0.021,P<0.001),snoring loudness(t=-1.045,-2.602;P=0.299,0.011)and total number of snores(t=-0.868,-2.545;P=0.388,0.013)in the observation group were lower than those in the control group;the ESS score(t=-3.229,-6.925;P=0.002,P<0.001),PSQI score(t=-2.067,-4.446;P=0.042,P<0.001),SAS score(t=-2.366,-4.580;P=0.021,P<0.001),and SDS score(t=-5.103,-7.069;all P<0.001)in the observation group were lower than those in the control group.Conclusion In patients with snoring who underwent functional orofacial muscle training as an intervention,there was a significant decrease in snoring index,snoring loudness,and total number of snoring events with prolonged intervention.In addition,sleep quality and daytime sleepiness improved,and anxiety and depression were reduced.This method could be considered for wider promotion in the intervention of patients with snoring.

关 键 词：鼾声 口面肌功能训练 单纯性鼾症 上气道阻力综合征 阻塞性睡眠呼吸暂停 干预效果 

分 类 号：R766[医药卫生—耳鼻咽喉科]