口咽肌锻炼治疗OSAHS的系统回顾

Systematic review on orofacial myofunctional therapy to treat obstructive sleep apnea-hypopnea syndrome

流行病学调查显示,OSAHS与心衰、脑梗塞、高血压、糖尿病、猝死、心律失常等疾病的发生具有强相关性。持续正压通气（continuous positive airway pressure,CPAP）已经写入缺血性脑卒中[1]和心衰[2]的指南,目前是OSAHS的首选疗法。OSAHS的治疗还包括控制体重、采取适当的睡眠体位等基础治疗。此外,还有手术、口腔矫治器、

Obstructive sleep apnea-hypopnea syndrome（OSAHS）is an important risk factor for cardiovascular and cerebrovascular diseases.The widespread collapse of the airway,which can’t maintain its normal position and structure,is an important cause of OSAHS.Noninvasive ventilator-assisted ventilation is the preferred treatment for OSAHS,but there are shortcomings of poor compliance.Orofacial myofunctional therapy（OMT）is a noninvasive,simple,low-cost,low-risk therapy that is expected to replace noninvasive ventilator-assisted ventilation to a certain extent.So far,there is little Chinese literature on OMT,especially no training methods in Chinese version.Therefore,this paper systematically reviewed anatomical abnormalities and pathology of OSAHS,possible treatment mechanism of OMT and related research progress.And we translated two kinds of training method of OMT（Guimarase’s and Hemmat Baz’s）into Chinese for researchers and clinicians’reference,which is widely cited in foreign literature.