改良型Twin-block阻鼾器及Silensor阻鼾器治疗OSAHS的临床比较

Clinical comparision of twin-block appliance and silensor appliance for treating the snoring and OSAHS

目的:探讨应用改良型Twin-block阻鼾器和Silensor阻鼾器治疗鼾症及阻塞性睡眠呼吸暂停低通气综合症(OSAHS)的疗效及并发症。方法:选择来我院口腔科就诊的鼾症及(OSAHS)30例患者,分别采用改良型Twin-block阻鼾器及Silensor阻鼾器进行治疗。并随访24个月,对患者戴用2种阻鼾器后的主观感觉(患者或其同住者主诉)、临床检查包括下颌运动度、牙齿松动、关节区压痛、肌肉组织疼痛、咬合关系,X线头颅侧位片进行测量。结果:改良型Twin-block阻鼾器及Silensor阻鼾器对于鼾症及轻中度OSAHS均有一定的疗效。2者相比,Silensor阻鼾器所引发的并发症较少,改良型Twin-block阻鼾器会造成患者牙齿的疼痛、松动,肌肉疼痛,关节压痛及牙齿位置的改变。结论:应用改良型Twin-block阻鼾器应注意增加基牙的数量,调整咬合垫的高度,勿使相关组织承力过大。

Objective： The aim of this pilot study was to investigate the effects of 24 months＇ nocturnal treatment with modified twin-block appliance and silensor appliance in patients with snoring and obstructive sleep apnea syndrome with complication. Methods： 30 snoring and sleep apnea patients were treated with those two kinds of oral appliance. Subject feeling test, clinical test and lateral head X-ray analysis were taken in the study. Results： The results showed that both two kinds of oral appliance had effects on snoring and OSAHS, and the modified twin-block appliance had caused some complications compared with silensor appliance. Conclusion： From that we concluded silensor appliance is a better method. Furthermore when using the modified twin-block appliance, more teeth should be included and height of the splint should be adjusted well.