摘要
目的评价口腔矫治器治疗阻塞性睡眠呼吸暂停综合症(OSAS)的临床疗效。方法12例用口腔矫治器治疗的OSAS患者,对其治疗前后多导睡眠监测(PSG)和X射线头影测量所得的气道及呼吸功能改变进行分析。结果治疗前后呼吸暂停指数(AI)、平均呼吸暂停时间(MAT)、低通气指数(H I)、呼吸紊乱指数(AH I)及血氧饱和度(SaO2)比较,差异有显著性意义(P<0.05);下颌平面角(SN-MP),上气道上部前后径(SPAS)、中部前后径(MAS)、软腭长度(SPL)比较,差异有显著性意义(P<0.05);SNB,上气道下部前后径(IAS)比较,差异无显著性意义(P>0.05)。结论用口腔矫治器可以有效的治疗阻塞性睡眠呼吸暂停综合症,有高效经济、携带方便、无创无风险性及可重复性等优点。
Objective To evaluate the treatment effects of a dental appliance on 12 patients with obstructive sleep apnea syndrome （OSAS）. Methods Polysomnograghic monitoring and cephalometric analysis were performed before and after treatment to clarify the effects of the appliance. Results The findings indicated that horizontal and vertical mean changes in mandibular position while the appliance was worn were 4. 15 mm and 5.63 mm respectively. The mean superior airway space increased by 2. 97 mm （ P 〈 0. 01 ） ; the middle and inferior airway space however, did not change significantly when the appliance was worn. The average apnea index decreased by 12 events per hour when the appliance was worn （ P 〈 0. 01 ）. The average respiratory disturbance index decreased by 26. 67 events per hour in 12 patients （ P 〈 0. 01 ）. Conclusion The dental appliance, being economical, easy portable, nontraumatic and safe, can be effectively used to treat obstructive sleep apnea syndrome.
出处
《实用医院临床杂志》
2006年第1期31-32,共2页
Practical Journal of Clinical Medicine
