戴用义齿与无牙颌患者阻塞性睡眠呼吸暂停低通气综合征发生的相关性分析

Analysis on the Correlation between Wearing Dentures and Obstructive Sleep Apnea Hypopnea Syndrome of Patients with Edentulous Jaw

目的:分析戴用义齿与无牙颌患者阻塞性睡眠呼吸暂停低通气综合征发生的相关性。方法:选取2016年1—12月厦门思明定安门诊部口腔部修复科就诊的双颌无牙颌患者41例作为研究对象,比较佩戴义齿和不佩戴义齿者的睡眠呼吸指标,观察戴用义齿睡眠者阻塞性睡眠呼吸暂停低通气综合征(OSAHS)发病率、危险因素与相关性。结果:戴义齿组的AHI水平显著高于不戴义齿组,差异有统计学意义(P<0.05)。41例佩戴义齿组39例AHI增加,2例AHI减少,追踪12个月,戴义齿睡眠组义齿性口腔炎、创伤性溃疡、颞下颌关节功能紊乱发病率高于不戴义齿组,差异有统计学意义(P<0.05)。Pearson和秩相关性分析,义齿性口腔炎、创伤性溃疡、颞下颌关节功能紊乱与OSAHS发病呈显著相关性(P<0.05)。结论:无牙颌者戴用义齿睡眠可导致义齿性口腔炎、创伤性溃疡、颞下颌关节功能紊乱发病,诱发呼吸睡眠暂停低通气综合征。

Objective:To analyze the correlation between wearing denture and obstructive sleep apnea hypopnea syndrome of patients with edentulous jaw.Methods:A total of 41 patients with bimaxillary edentulous jaws in Department of Stomatology,Xiamen Siming Dingan Clinic from January 2016 to December 2016 were selected as the research object,and the Sleep breathing indexes of patients with and without dentures were compared.The incidence,risk factors and correlation of obstructive sleep apnea hypopnea syndrome(OSAHS)were observed.Results:The AHI level of denture group was significantly higher than that of non-denture group,there was statistically significant difference(P<0.05).The incidence of denture stomatitis,traumatic ulcer and temporomandibular joint dysfunction of denture group were higher than those of non-denture group,there were statistically significant differences(P<0.05).Pearson and rank correlation analysis showed that denture stomatitis,traumatic ulcer,temporomandibular joint dysfunction were significantly correlated with OSAHS(P<0.05).Conclusion:The sleep with denture in edentulous jaw patients can cause denture stomatitis,traumatic ulcer,temporomandibular joint dysfunction and induce sleep apnea hypopnea syndrome.