摘要
目的:评价两种不同口腔矫治器治疗阻塞型睡眠呼吸暂停低通气综合症(OSAHS)的疗效。方法:12例经过多导睡眠图(PSG)监测及临床表现确诊为OSAHS的患者随机分成两组,分别制作改良的Activator矫治器和阻鼾器。6～8周后经PSG监测,并将临床表现与治疗前进行比较。结果:戴用两种不同口腔矫治器后,呼吸紊乱指数(AHI)、平均呼吸暂停时间(MAT)、呼吸暂停指数(AI)、鼾声指数均有明显降低,而血氧饱和度(SaO2)则有明显升高。在矫治器的固位状况比较中,改良的Activator矫治器优于阻鼾器,在戴用舒适度上阻鼾器略优于改良的Acti-vator矫治器。结论:两种不同口腔矫治器在治疗OSAHS中均是比较好的方法,但在矫治器的选配上需因人而异,老年人、高角病例不宜选择阻鼾器。
Objective： To evaluate the curative effect to obstructive sleep apnca hypopnca syndrome （OSAHS） by two kinds of oral appliamces . Methods： 12 suffers who were diagnosed an OSAHS monitored by PSG and dinical performance used the modified Activator cornection or the appliance of pneuenting snore whids. Six or eight weeks later, the effect was monitored by PSG and compared with the pre - treatment result. Results： Monitored by PSG, wearing two kinds of appli- ances would lower the AHI, MAT, AI, and snore index, while raise the SaO2 obviously. The symptom of OSAHS became better after the treatment. When comparied of the retention condition, the modified Activator corrections surpass the appli- ance of preventing snore. Conclusion： Two kinds of mouth cavities correctins are all good methods in coirecting OSAHS, and the need will be varied from person to person in chooing and wearing corrections.
出处
《口腔医学研究》
CAS
CSCD
北大核心
2009年第3期336-338,共3页
Journal of Oral Science Research
