[没有牙的病人带着下前进装置]
E M C Schotanus1, H H R Al-Bayyati2, L J Koppendraaier3
1The Department of Oral and Maxillofacial Surgery of the Diakonessenhuis Utrecht, the Netherlands.
Nederlands tijdschrift voor tandheelkunde
|February 4, 2026
概括
部推进装置在没有牙的患者中有效治疗阻塞性睡眠呼吸暂停. 这种疗法显示出积极的结果,几乎没有问题,为没有牙的人提供CPAP的替代方案.
科学领域:
- 牙科 睡眠医学 睡眠医学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是常见的,影响了许多牙患者.
- 连续正气道压力 (CPAP) 是标准的,但其合规性较低.
- 部推进装置 (MAD) 是替代品,但由于保留问题,在牙无牙的患者中经常避免使用.
研究的目的:
- 审查关于MAD治疗OSA牙患者的文献.
- 为考虑为这一群体提供MAD的从业者提供决策工具.
主要方法:
- 根据PRISMA指南进行范围审查.
- 在MEDLINE数据库上进行文献搜索.
主要成果:
- 包含的研究报告了使用MADs的OSA无牙患者的无呼吸失眠指数 (AHI) 的降低.
- 在所有研究中,几乎没有遇到与治疗有关的问题.
- 在OSA的无牙患者中,MAD治疗显示出积极的结果.
结论:
- 对于患有阻塞性睡眠呼吸暂停的无牙患者来说,MAD治疗是一种可行的和有效的治疗选择.
- 实践者可以自信地考虑为牙患者提供MAD,并得到文献证据的支持.
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