摘要
目的 :评价Herbst等下颌前移类口腔矫治器治疗阻塞性睡眠呼吸暂停综合征 (OSAS)的临床疗效。方法 :2 1例患者治疗前后分别进行X线头影测量分析及夜间多导睡眠图监测检查 ,比较治疗前后患者颌骨、气道和睡眠呼吸紊乱指标的变化及主观症状。结果 :戴用矫治器后下颌前移、下颌平面角增大 ,上气道、舌根后气道的间隙增大 ;鼾声、睡眠憋醒、白日嗜睡等症状改善或消失 ;多导睡眠图 (PSG)五项监测指标治疗前后差异有显著性 ,治疗后明显好转 ,客观有效率为 95 %。结论 :Herbst等下颌前移类口腔矫治器是治疗OSAS的一种较好方法。
Objective:To evaluate the treatment efficiency of modified Herbst and Activator appliance and Snoreguard for obstructive sleep apnea syndrome(OSAS ).Methods:Twenty-one patients with OSAS were diagnosed and reexamined after treatment with these mandibular advancement oral appliance by polysomnography and cephalometrics.The change of the sleep disorder index and airway were analyzed.Results:The treatment efficiency was 95%,the mean superior and middle airway space increased by 3.31 and 5.66mm(P<0.01),the inferior airway space,however,didn't change significantly when the appliance was worn.The average Apnea Index(AI)and Respiratory Disturbance Index(AHI)decreased from 23.25 to 3.34 and from 38.91 to 10.08 events per hour.The lowest SaO 2 value increased from 71.69% to 84.59%(P<0.01).Conclusion:Modified Herbst appliance is a conservative, successful treatment alternative to patients of OSAS.
出处
《实用临床医学（江西）》
CAS
2004年第3期103-105,共3页
Practical Clinical Medicine
基金
江西省卫生厅资助项目
