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[1]赖海春,黄 维,蚁雪涵,等.口腔矫治器和持续气道正压通气治疗中度OSAHS伴下颌后缩患者的疗效对比[J].福建医科大学学报,2020,54(02):127-130.
 LAI Haichun,HUANG Wei,YI Xuehan,et al.Comparison of the Effectiveness of Oral Appliance versus Continuous PositiveAirway Pressure in Treating Moderate OSAHS Patients with Mandibular Retrusion[J].Journal of Fujian Medical University,2020,54(02):127-130.
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口腔矫治器和持续气道正压通气治疗中度OSAHS伴下颌后缩患者的疗效对比(PDF)
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《福建医科大学学报》[ISSN:1672-4194/CN:35-1192/R]

卷:
第54卷
期数:
2020年02期
页码:
127-130
栏目:
临床研究
出版日期:
2020-04-30

文章信息/Info

Title:
Comparison of the Effectiveness of Oral Appliance versus Continuous PositiveAirway Pressure in Treating Moderate OSAHS Patients with Mandibular Retrusion
文章编号:
1672-4194(2020)02-0127-05
作者:
赖海春 黄 维 蚁雪涵 王德生
福建医科大学 附属协和医院耳鼻咽喉头颈外科,福州 350001
Author(s):
LAI Haichun HUANG Wei YI Xuehan WANG Desheng
Department of Otolaryngology Head and Neck Surgery, Fujian MedicalUniversity Union Hospital, Fuzhou 350001, China
关键词:
睡眠呼吸暂停阻塞性 睡眠呼吸暂停综合征 气管 肺换气 矫正装置 口腔 下颌骨
Keywords:
sleep apnea obstructive sleep apnea syndromes trachea pulmonary gas exchange orthotic devices mouth mandible
分类号:
R322.41; R563.8; R766
DOI:
-
文献标志码:
A
摘要:
目的 对比分析口腔矫治器(OA)、持续性气道正压通气(CPAP)治疗中度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)伴下颌后缩患者的疗效差别。 方法 选取中度OSAHS伴下颌后缩的患者42例,根据治疗方式的不同分为CPAP治疗组(n=21)和OA治疗组(n=21); 另选取不伴下颌后缩的OSAHS患者50例,根据治疗方式的不同分为CPAP治疗组(n=25)和OA治疗组(n=25)。对比分析4组患者治疗前后嗜睡量表(ESS)评分、鼾声(SS)评分、呼吸暂停低通气指数(AHI)、氧减指数(ODI)和最低血氧饱和度(LSaO2)等。 结果 治疗6月后,4组患者的ESS评分,SS评分,AHI,ODI和LSaO2均较治疗前显著改善(P<0.05)。治疗后各组间ESS评分差别无统计学意义(P>0.05)。CPAP治疗在改善SS评分,AHI,ODI及LSaO2方面均优于OA治疗(P<0.05)。OA治疗组中,OSAHS伴下颌后缩的患者在改善AHI及ODI方面优于不伴下颌后缩的患者(P<0.05)。 结论CPAP和OA治疗中度OSAHS伴下颌后缩患者疗效肯定; OA的治疗效果,伴下颌后缩的患者优于不伴下颌后缩的患者。
Abstract:
Objective To compare and analyze the effectiveness of oral appliance(OA)versus continuous positive airway pressure(CPAP)in treating moderate OSAHS patients with mandibular retrusion. Methods Ninety-two patients with moderate OSAHS were selected, among them 42 moderate OSAHS patients with mandibular retraction were divided into CPAP treatment group(n=21)and OA treatment group(n=21)according to different treatment methods; and 50 moderate OSAHS patients without mandibular retraction were divided into CPAP treatment group(n=25)and OA treatment group(n=25)according to different treatment methods. ESS score, SS score, AHI, ODI, and LSaO2 were obtained and compared before and after 6 months of treatment in 4 groups. Results After 6 months, ESS score, SS score, AHI, ODI, and LSaO2 of the 4 groups were significantly improved compared with those before treatment(P<0.05). There was no significant difference in ESS scores between the 4 groups after treatment(P>0.05). SS score, AHI, ODI, and LSaO2 were significantly improved in CPAP groups compared with OA groups(P<0.05). The OA treatment group of OSAHS patients with mandibular retraction was superior to the OA treatment group of OSAHS patients without mandibular retraction in terms of improving AHI and ODI(P<0.05). Conclusion Both CPAP and OA have a positive effect in treating moderate OSAHS patients with mandibular retraction, and treatment effect of OA on OSAHS patients with mandibular retraction is better than they on patients without mandibular retraction.

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备注/Memo

备注/Memo:
收稿日期: 2019-06-24基金项目: 福建省教育厅产学研项目(JAT160187); 福建省医学创新项目(2017-CX-23)作者简介: 赖海春,男,主治医师,福建医科大学2016级博士研究生通讯作者: 王德生. Email: wangds@fjmu.edu.cn
更新日期/Last Update: 2020-04-30