摘要
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.
出处
《中华老年口腔医学杂志》
2008年第2期72-74,共3页
Chinese Journal of Geriatric Dentistry