ортодонтика治疗对阻塞性睡眠呼吸暂停患者呼吸道尺寸的影响:一项前性研究
Mohammad K Alam1,2,3, Mohammad Y Hajeer4, Abdullah H Alshammari1
1Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka, Saudi Arabia.
Journal of pharmacy & bioallied sciences
|February 10, 2025
概括
正牙治疗显著改善了阻塞性睡眠呼吸暂停 (OSA) 患者的呼吸道尺寸和睡眠质量. 这种治疗涉及下巴扩张和推进,与对照组不同.
科学领域:
- 牙科医学 牙科医学
- 睡眠医学 睡眠医学
- 医疗成像医学成像
背景情况:
- 阻塞性睡眠呼吸暂停 (obstructive sleep apnea,OSA) 是一种普遍的疾病,在睡眠期间出现上呼吸道阻塞.
- 轻度至中度的OSA影响了相当一部分人口,影响了睡眠质量和整体健康.
研究的目的:
- 评估正牙治疗在改善OSA患者的呼吸道尺寸方面的疗效.
- 评估大扩张和下推进对气道体积和最小横截面积的影响.
主要方法:
- 一组由50名轻度至中度OSA患者 (年龄在18-45岁) 组成的队列被分为正牙治疗组 (A组) 和对照组 (B组).
- 形束计算断层扫描 (CBCT) 用于在基线和治疗后12个月测量气道尺寸.
- 呼吸暂停-呼吸暂停指数 (AHI) 和爱普沃思睡眠度量表 (ESS) 用于评估睡眠质量和呼吸暂停的严重程度.
主要成果:
- 与B组不同的是,A组的气道体积 (3500毫米3) 和最小横截面积 (45毫米2) 显著增加,而B组则有所增加.
- 组A的患者在AHI (8事件/小时) 显著降低,ESS得分 (4分) 改善.
- 这些发现表明,正义牙科干预对OSA参数具有积极的治疗效果.
结论:
- 牙正治疗,特别是扩张和下扩张,有效提高OSA患者的呼吸道尺寸.
- 这项研究表明,改善呼吸道结构和阻塞性睡眠呼吸暂停患者的更好的睡眠质量之间存在联系.
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