在阻塞性睡眠呼吸暂停中,口腔器械对功能的影响
Åke Tegelberg1, Eva Nohlert2, Thomas List3
1Department of Orofacial Pain and Jaw Function, Malmö University, Malmö, Sweden; Region Västmanland - Uppsala University, Centre for Clinical Research, Västmanland Hospital, Västerås, Sweden.
概括
对阻塞性睡眠呼吸暂停 (OSA) 的口服器械 (OA) 治疗在一年内对功能产生了有限的影响. 这种对OSA的安全治疗不时会造成部疼痛或功能障碍的风险.
科学领域:
- 牙科 睡眠医学 睡眠医学
- 矯正牙科 矯正牙科是一種矯正牙科.
- 睡眠医学 睡眠医学
背景情况:
- 口服器械 (OA) 治疗是阻塞性睡眠呼吸暂停 (OSA) 的常见治疗方法.
- 由OA引起的长时间下突起可能会影响正常的下功能.
- 甲酸对功能的长期影响需要进行彻底的研究.
研究的目的:
- 评估OSA治疗OA治疗一年后功能症状和临床发现的变化.
- 评估OA对系统的安全性和有效性.
主要方法:
- 一年后的临床试验,涉及302名OSA患者,接受单块或双块OAS治疗.
- 评估包括下功能限制量表,患者报告的症状,以及下移动性,闭塞和关节/肌肌痛的临床检查.
- 配对t测试和麦克内马尔测试用于统计分析.
主要成果:
- 192名患者完成了这项研究 (73%是男性,平均年龄55岁).
- 没有观察到功能限制量表或整体功能症状的显著变化.
- 研究人员发现,早晨头痛有所改善,醒来时口腔开口/口有所增加,牙堵塞有主观的变化.
结论:
- 经过一年的OA治疗,OSA对部移动性,塞和肌/关节疼痛的影响很小.
- 患上下疼痛或功能障碍的风险不常见,这表明OA治疗OSA通常是安全的.
- 可以推OA疗法用于OSA管理,对功能有有限的不良影响.
相关概念视频
Sleep Apnea
198
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
198
Suctioning the Oropharyngeal Airway
269
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
269
Cardiopulmonary Resuscitation II: ACLS Airway Management
23
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
23
Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.1K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.1K
Suctioning the Nasopharyngeal Airway
541
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
541
Mechanical Ventilation III: Noninvasive Ventilation
158
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
158


