软或硬塑下颌前移口腔矫治器治疗阻塞型睡眠呼吸暂停综合征(附20例报告)

Soft or hard plastic mandibular advancement oral appliances for the treatment of obstructive sleep apnea syndrome

目的 软或硬塑下颌前移口腔矫治器 (OA)治疗阻塞型睡眠呼吸暂停综合征 (OSAS)的疗效分析。方法 使用软或硬塑下颌前移OA治疗OSAS患者 2 0例 ,3个月后复查主观症状及多导睡眠图 (PSG)。结果 软、硬塑下颌前移OA以及合并统计患者的耐受率分别为 83 %、75 %、78% ,鼾声、睡眠憋醒、白日嗜睡等症状改善或消失 ,PSG五项监测指标治疗前后差异有显著性 ,治疗后明显好转。

Objective To study the effects for treatment of obstructive sleep apnea syndrome(OSAS) with soft and hard plastic mandibular advancement oral appliances(OA). Methods 20 cases of OSAS were treated with soft or hard plastic mandibular advancement OA. After three months, the chief complains include snoring and awaking (gasping or choking) and excessive daytime sleepness,overnight polysomnongraph(PSG) monitoring were done again. Results Of the mild and middle OSAS patients,83% accepted soft plastic OA, 75% accepted hard plastic OA,78% accepted soft or hard OA.The average Apnea Index(AI) decreased form 28.30 to 3.69 events per hour ( P < 0.01 ). The average Rspiratory Disturbance Index(RDI or AHI) decreased from 35.25 to 8.18 events per hour ( P < 0.05 ). The lowest night SaO 2 value increased from 72.71% to 85.14% ( P < 0.001 ). Conclusion Soft or hard mandibular advancement OA is a successful treatment alternative to patients of OSAS.