阻断性睡眠呼吸暂停的面腔肌功能疗法:系统性审查和元分析
Elias S Saba1, Hannah Kim2, Pauline Huynh1
1Department of Head and Neck Surgery, Kaiser Permanente, Oakland Medical Center, Oakland, California, U.S.A.
The Laryngoscope
|August 22, 2023
概括
口面肌功能疗法 (OMT) 通过降低呼吸暂停-呼吸暂停指数和提高睡眠质量,显著改善了成年人的阻塞性睡眠呼吸暂停 (OSA). 然而,在儿童中,OMT的有效性是有限的,因为遵守不当.
科学领域:
- 睡眠医学 睡眠医学
- 呼吸系统医学 呼吸系统医学
- 治疗干预 治疗干预
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的睡眠障碍.
- 面腔肌功能疗法 (OMT) 提供了一种非侵入性的方法来管理OSA.
- 优化舌头姿势和口肌肉度是OMT的关键机制.
研究的目的:
- 系统地审查和分析OMT在OSA患者的疗效.
- 评估OMT对初级和二级OSA结果措施的影响.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 包括随机对照试验 (RCT),包括接受单疗法OMT的10+OSA患者.
- 主要结局:呼吸暂停-呼吸暂停指数 (AHI);次要结局:嗜睡,生活质量,氧气和,打.
主要成果:
- 与310名成年患者进行的7项RCT显示,OMT显著改善了AHI,主观嗜睡,生活质量和最低氧气和.
- 成年OMT患者的平均AHI降低为-10.2.2.
- 一个单一的儿科RCT表明合规性较差,AHI或其他指标没有显著改善.
结论:
- 对于不耐受CPAP或其他治疗的成年OSA患者来说,OMT是一个可行的替代方案.
- 目前的证据表明,OMT在儿科OSA中的益处有限,主要是由于合规问题.
- 需要进一步的研究来探索OSA的合规因素和长期OMT结果.
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