一步一步的临床协议制造和定位一个双锁下前进装置:睡眠医生实用指南
Raphaël Wakam1,2,3, Didier Maurice4,5, Caroline Gorin6,7,8
1Faculté d'Odontologie, Département de Prothèses, Université de Lille, Lille, F-59000, France.
Sleep & breathing = Schlaf & Atmung
|November 6, 2025
概括
本指南详细介绍了针对阻塞性睡眠呼吸暂停-呼吸暂停综合征 (OSAHS) 定制下推进装置 (MADs) 的临床方案. 适当的制造和调整是改善患者结果和设备耐受性的关键.
科学领域:
- 睡眠医学 睡眠医学
- 牙科 睡眠医学 睡眠医学
- 生物医学工程 生物医学工程
背景情况:
- 阻塞性睡眠呼吸暂停-呼吸暂停综合征 (OSAHS) 影响了许多成年人,持续的正气道压力 (CPAP) 具有低于最佳的坚持.
- 部推进装置 (MADs) 对轻度至中度的OSAHS和对CPAP不耐受的患者有效.
- 定制的MADs需要精确的临床步骤以获得最佳的有效性,但处方者往往缺乏熟悉.
研究的目的:
- 为定制,可定位的双块MADs提供一个插图,逐步的临床方案.
- 强调MAD制造和调整中的技术准确性,可重复性和跨学科合作.
- 提高睡眠医生和牙医之间对MAD工作流程的理解.
主要方法:
- 设计,制造,插入和定位一个定制的Bibloc MAD的详细协议.
- 用SomnodentTM Flex作为一个代表性的示例来说明.
- 专注于影响设备舒适性,耐受性和有效性的关键参数.
主要成果:
- 该协议涵盖了所有阶段,从打印到后续调整.
- 突出了设备舒适性,患者耐受性和治疗成功的关键因素.
- 为实施MAD治疗提供了一个清晰的工作流程.
结论:
- 本指南增强了对牙科和非牙科处方者MAD工作流程的理解.
- 旨在改善OSAHS患者的跨学科管理.
- 最终旨在改善OSAHS患者的治疗结果和设备耐受性.
相关概念视频
Blind Procedures
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which child was...
Management of Insomnia
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
Sleepwalking and Sleep Talking
Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...


