在阻塞性睡眠呼吸暂停中,睡眠 Bruxism 仅仅是口腔健康相关的问题吗?
J Sambale1, U Koehler2, R Conradt3
1Department of Orthodontics, Clinic of Dentistry, Philipps-University Marburg, Georg-Voigt-Str. 3, 35041, Marburg, Germany. sambale@staff.uni-marburg.de.
BMC oral health
|May 14, 2024
概括
阻塞性睡眠呼吸暂停 (OSA) 患者的睡眠喘与增加的肌肉活动和呼吸障碍有关. 早期发现和跨学科治疗对于管理这种复杂的疾病至关重要.
科学领域:
- 睡眠医学 睡眠医学
- 神经学 神经学
- 口腔健康 口腔健康
背景情况:
- 在患有阻塞性睡眠呼吸暂停 (OSA) 的患者中,睡眠障碍症的确切原因尚不清楚.
- 这项研究调查了可能发生的睡眠,肌肉活动和睡眠期间呼吸模式之间的关系.
研究的目的:
- 探索OSA患者的睡眠 Bruxism,电肌图 (EMG) 肌肉调和呼吸系统事件之间的关联.
- 在患有OSA的个体中识别睡眠 Bruxism 的预测因子.
主要方法:
- 106名OSA患者被分为睡眠 Bruxism (SB) 和没有睡眠 Bruxism (NSB) 组.
- 可能的SB的诊断是基于AASM的标准,包括自我报告,口腔面部症状,牙磨损和masseter缩.
- 通过masseter EMG进行了多睡眠学,进行了关节疾病 (TMD) 的临床检查和功能限制评估 (JFLS-20).
主要成果:
- 在OSA患者中,可能发生睡眠瘤的患病率为37.1%.
- 在SB组中观察到显著更高的EMG肌肉度和更多的下.
- 增加的masseter肌肉触摸疼痛和骨髓疼痛在患有睡眠 Bruxism 的患者中更为频繁.
结论:
- 升高的EMG肌肉度和口腔面部功能限制预示着OSA患者的睡眠 Bruxism.
- 睡眠 Bruxism 患者经历更严重的睡眠呼吸障碍,突出显示其影响超出了口腔健康.
- 跨学科的方法对于全面的患者管理至关重要.
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