牙列缺损患者的睡眠障碍状况及其影响因素研究

Study on sleep disorders and influencing factors in patients with dentition defects

目的:了解牙列缺损患者睡眠障碍状况,探讨牙齿缺失数量、牙科焦虑因素对牙列缺损患者睡眠障碍的影响,从而为预防和改善患者的睡眠健康提供理论依据。方法:选取2022年4月~2023年12月在川北医学院附属医院口腔修复科就诊的447例牙列缺损患者,采用口腔检查和问卷调查,SPSS软件对数据整理分析。结果:调查的447例患者中,无睡眠障碍245例(54.8%),有睡眠障碍202例(45.2%)。Logistic回归分析发现:牙齿缺失数量、牙科焦虑对牙列缺损患者的睡眠障碍的影响具有统计学意义(P值均<0.05)。与缺失21~28颗牙相比,缺失1~10颗、11~20颗牙的牙列缺损患者患有睡眠障碍的风险会更低,其OR(95%CI)为0.309(0.099,0.968)、0.235(0.069,0.809);与有牙科焦虑相比,无牙科焦虑的牙列缺损患者患有睡眠障碍的风险会更低,其OR(95%CI)为0.572(0.376,0.868)。缺失21~28颗牙、伴有牙科焦虑是牙列缺损患者发生睡眠障碍的危险因素。结论:缺失21~28颗牙、伴有牙科焦虑是牙列缺损患者发生睡眠障碍的危险因素。临床医师在接诊此类患者时,应重点关注,及时干预与引导,从而改善患者睡眠健康。

Objective:To understand the sleep disorder of patients with dentition defect,and to explore the influence of the number of missing teeth and dental anxiety factors on the sleep disorder of patients with dentition defect,so as to pro-vide a theoretical basis for preventing and improving the sleep health of patients.Methods:A total of 447 patients with denti-tion defect who were treated in the Department of Prosthodontics of the Affiliated Hospital of North Sichuan Medical College from April 2022 to December 2023 were selected,and the data were analyzed by oral examination and questionnaire survey,and SPSS software.Results:Among the 447 patients surveyed,245(54.8%)had no sleep disorder and 202(45.2%)had sleep disorder.Logistic regression analysis showed that the effects of tooth loss and dental anxiety on sleep disorders in pa-tients with dentition defects were statistically significant(all P<0.05).Compared with 21~28 missing teeth,patients with 1~10 and 11~20 missing teeth had a lower risk of sleep disturbance,with OR(95%CI)of 0.309(0.099,0.968)and 0.235(0.069,0.809),and compared with those with dental anxiety,patients with dentition defect without dental anxiety had a low-er risk of sleep disturbance,with OR(95%CI)of 0.572(0.376,0.868).The results suggested that the loss of 21~28 teeth and dental anxiety were risk factors for sleep disorder in patients with dentition defects.Conclusion:The loss of 21~28 teeth and dental anxiety are risk factors for sleep disorders in patients with dentition defects.Clinicians should pay attention to the timely intervention and guidance of such patients when receiving such patients,so as to improve the sleep health of patients.