新型口腔装置——下颌前置加后置型舌保留装置治疗鼾症和睡眠呼吸暂停综合征的临床研究
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摘要
目的:探讨型的口腔装置——下颌前置加后置型舌保留装置治疗鼾症和睡眠呼吸暂停综合征(SAS)的治疗效果,为临床治疗方式选择提供参考。方法:选取2014年3月至2018年10月内蒙古科技大学包头医学院第一附属医院耳鼻喉科收治的睡眠呼吸暂停综合征患者83例作为研究对象,根据治疗方式的不同分为观察组和对照组,观察组进行新型口腔装置,对照组给与下颌前移式矫治器组。比较2组患者治疗后鼾症自觉症状、多导睡眠图(Polysomnography,PSG)各指标以及治疗后并发症。结果:治疗后观察组的鼾症主观症状总改善率高于对照组,差异有统计学意义(P <0. 05);治疗后PSG各指标好于对照组,差异有统计学意义(P <0. 05);并发症发生率低于对照组,差异有统计学意义(P <0. 05)。结论:新型的口腔装置——下颌前置加后置型舌保留装置对比下颌前移式矫治器在治疗鼾症和睡眠呼吸暂停综合征治疗效果好,治疗后并发症发生率低,是目前一种更有效的治疗方式。
Objective: To investigate the therapeutic effect of mandibular previa and posterior lingual retentive device in the treatment of snoring and sleep apnea syndrome( SAS). Methods: select in March 2014 to October 2018 in baotou of Inner Mongolia university of science and technology medical school first affiliated hospital otolaryngology treated 83 cases of patients with sleep apnea syndrome who as the research object,according to the different methods of treatment are divided into observation group and control group,observation group new oral device,the control group given jaw forward type and correcting device group. The subjective symptoms of snoring,Polysomnography( PSG),and postoperative complications were compared between the two groups. Results: the total improvement rate of subjective symptoms of snoring in the observation group was higher than that in the control group after treatment,and the difference was statistically significant( P < 0. 05). After treatment,PSG indexes were better than the control group,and the difference was statistically significant( P < 0. 05). The incidence of complications was lower than the control group,and the difference was statistically significant( P < 0. 05). Conclusion: the new oral device,mandibular preposition plus postposition tongue retentive device,is a more effective treatment method compared with mandibular preposition correction device in the treatment of snoring and sleep apnea syndrome,with a lower incidence of complications after treatment.
Objective: To investigate the therapeutic effect of mandibular previa and posterior lingual retentive device in the treatment of snoring and sleep apnea syndrome( SAS). Methods: select in March 2014 to October 2018 in baotou of Inner Mongolia university of science and technology medical school first affiliated hospital otolaryngology treated 83 cases of patients with sleep apnea syndrome who as the research object,according to the different methods of treatment are divided into observation group and control group,observation group new oral device,the control group given jaw forward type and correcting device group. The subjective symptoms of snoring,Polysomnography( PSG),and postoperative complications were compared between the two groups. Results: the total improvement rate of subjective symptoms of snoring in the observation group was higher than that in the control group after treatment,and the difference was statistically significant( P < 0. 05). After treatment,PSG indexes were better than the control group,and the difference was statistically significant( P < 0. 05). The incidence of complications was lower than the control group,and the difference was statistically significant( P < 0. 05). Conclusion: the new oral device,mandibular preposition plus postposition tongue retentive device,is a more effective treatment method compared with mandibular preposition correction device in the treatment of snoring and sleep apnea syndrome,with a lower incidence of complications after treatment.
引文
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[8]陈丽华,周红梅,林淑媚,等.无创呼吸机对睡眠呼吸暂停综合征患者炎症反应的影响[J].海南医学,2018,29(14):2041-2043.
[9]耿忠楷,侯伟,周昕,等.口腔功能矫治器对阻塞性睡眠呼吸暂停低通气综合征患者的上呼吸道影响[J].口腔医学,2017,37(5):477-480.
[10]张士珑,刘春艳,王雯,等.下颌前移矫治器对阻塞性睡眠呼吸暂停低通气综合征兔颏舌肌核因子κB、肿瘤坏死因子α和白细胞介素6的影响[J].中华口腔医学杂志,2017,52(5):300.
[11]吴大海,胡洁芳,秦洁,等.阻塞性睡眠呼吸暂停低通气综合征与舌后坠[J].临床军医杂志,2016,44(12):1313-1315.
[2]陈雪,刘燕娜.阻塞性睡眠呼吸暂停综合征的临床研究进展[J].重庆医学,2017,46(8):1128-1131.
[3]黄斌,杨增荣,黄毅,等.阻塞性睡眠呼吸暂停低通气综合征的治疗研究进展[J].重庆医学,2016,45(30):4300-4303.
[4]周林曦,张桂荣,钱玉芬.口腔矫治器治疗阻塞性睡眠呼吸暂停综合征研究进展[J].中国实用口腔科杂志,2016,9(11):693-697,共5页.
[5]李德宏,杨向红,周静,等.下颌前伸矫治器治疗睡眠呼吸暂停综合征的三维影像学评估[J].上海口腔医学,2016,25(2):208-211.
[6]王钰彧,关建,殷善开.阻塞性睡眠呼吸暂停低通气综合征的筛查诊断研究进展[J].临床耳鼻咽喉头颈外科杂志,2016,30(6):505-509.
[7]陈天明,余国辉,周金玲,等.阻塞性睡眠呼吸暂停综合征和单纯性鼾症应用体位干预治疗的效果研究[J].中国医药导刊,2016,18(5):435-436.
[8]陈丽华,周红梅,林淑媚,等.无创呼吸机对睡眠呼吸暂停综合征患者炎症反应的影响[J].海南医学,2018,29(14):2041-2043.
[9]耿忠楷,侯伟,周昕,等.口腔功能矫治器对阻塞性睡眠呼吸暂停低通气综合征患者的上呼吸道影响[J].口腔医学,2017,37(5):477-480.
[10]张士珑,刘春艳,王雯,等.下颌前移矫治器对阻塞性睡眠呼吸暂停低通气综合征兔颏舌肌核因子κB、肿瘤坏死因子α和白细胞介素6的影响[J].中华口腔医学杂志,2017,52(5):300.
[11]吴大海,胡洁芳,秦洁,等.阻塞性睡眠呼吸暂停低通气综合征与舌后坠[J].临床军医杂志,2016,44(12):1313-1315.