在青少年中阻塞性睡眠呼吸暂停和脑表参数之间的关联
Gayane E Manrikyan1, Izabella F Vardanyan2, Marina M Markaryan1
1Department of Therapeutic Dentistry, Yerevan State Medical University (YSMU), Koryun Str. 2, Yerevan 0002, Armenia.
Journal of clinical medicine
|November 14, 2023
概括
这项研究将儿童阻塞性睡眠呼吸暂停 (OSA) 与特定的正牙问题 (如II类恶性闭塞) 联系起来. 建议采用多学科方法,以更好地诊断和治疗儿科OSA.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 儿科睡眠医学 儿科睡眠医学
- 面生物学 面生物学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 在儿童和青少年中很普遍.
- 第二类缺陷和垂直生长模式可以减少口腔气道体积,增加OSA风险.
- 了解牙堵塞和OSA之间的联系对于有效的管理至关重要.
研究的目的:
- 调查青少年脑力测量参数和OSA指标之间的关系.
- 探索 ортодонтистов和somnologists之间的合作策略来治疗OSA在这个年龄组.
- 为了确定与青少年的OSA相关的特定正义牙科因素.
主要方法:
- 分析了被诊断患有OSA的41名青少年的数据.
- 进行了包括头计分析在内的正牙评估.
- 多睡眠学被用来评估睡眠模式和呼吸事件.
主要成果:
- 远端塞经常与牙发育差异有关.
- 在60.98%的患有远端闭塞的患者中,观察到上切口的面部倾斜.
- 脑表测量分析表明一个远距离下位置 (SNB 79.4±3.1°) 和潜在的下逆转 (SNA>正常,ANB 4.3±1.9°).
- 桃体和/或腺体缩的高患病率被注意到 (30名患者).
- 睡眠期间的肌活动发生在22.0%的患者中.
结论:
- 为了改善儿童的OSA诊断和治疗,必须采取多学科的方法.
- 纠正生长和发育过程是治疗儿科OSA的关键.
- 整合 ортодонтика和睡眠医学专业知识可以提高患者的治疗结果.
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