睡眠呼吸暂停和口腔面部疼痛:一个整合性的临床视角
Karthikeya Patil1, Mahesh Kaggare Puttaraju1, Ritu Basavarajappa1
1Department of Oral Medicine and Radiology, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, 570015 Mysuru, India.
Journal of oral & facial pain and headache
|October 10, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 和口腔面部疼痛有复杂的双向关系. 了解这些联系是有效治疗这两种疾病的关键.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 牙科 牙科是指牙科的专业.
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 影响2-9%的成年人,而面部疼痛影响10-20%的人口.
- 在OSA和口腔面部疼痛之间存在双向关系,这带来了临床挑战.
研究的目的:
- 审查将OSA和口腔面部疼痛联系在一起的病理生理机制.
- 探索这些条件对彼此的相互影响.
- 概述多学科的管理策略.
主要方法:
- 关于OSA,口腔面部疼痛和部功能障碍 (TMD) 的研究文献综述.
- 对病理生理路径和神经界面的分析.
- 综合当前的管理方法.
主要成果:
- 睡眠呼吸障碍会导致肌活动增加和牛,恶化TMD和口腔面部疼痛.
- 耳鼻面部疼痛可以扰乱睡眠架构,可能加剧睡眠呼吸障碍.
- 中央神经系统调节在增加疼痛敏感性方面发挥着作用.
结论:
- 同时治疗OSA和口腔面部疼痛对于最佳的结果至关重要.
- 建议多学科管理,包括CPAP,口腔器械,物理治疗和行为干预.
- 对复杂机制的进一步研究是有必要的.
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