口腔矫治器治疗阻塞性睡眠呼吸暂停合并失眠的疗效评价
Evaluation of the Efficacy of Oral Appliance for Obstructive Sleep Apnea Combined with Insomnia
杨珊棠 1林晓明 1陈玉玲1
作者信息
- 1. 福建省泉州市第一医院,泉州,362000
- 折叠
摘要
目的:分析口腔矫治器(OA)治疗阻塞性睡眠呼吸暂停与失眠共病(COMISA)的效果.方法:选取2023年3月至2023年10月泉州市第一医院收治的COMISA患者78例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组39例.对照组接受常规治疗,观察组在常规治疗的基础上采用OA治疗.治疗前后行多导睡眠图检测,记录呼吸参数与睡眠参数.结果:呼吸参数方面,观察组在治疗后呼吸暂停指数、低通气指数、呼吸暂停低通气指数均显著低于对照组,最低血氧饱和度较高,而最长呼吸暂停时间较短(P＜0.05).睡眠参数方面,观察组在治疗后睡眠潜伏期短于对照组,睡眠效率较高,觉醒指数较低,N3占有效睡眠百分比较高(P＜0.05).结论:OA是COMISA治疗的有效方法,具备较高的应用价值.
Abstract
Objective:To know the effect of oral appliances(OA)on comorbid insomnia and sleep apnea(COMISA).Methods:A total of 78 patients with COMISA were enrolled and randomly divided into a study group(n=39)and a control group(n=39).The control group received routine treatment;the study group received OA treatment based on routine treatment.Polysomnography was performed before and after treatment,and the respiratory and sleep parameters were recorded.Results:Regarding respiratory parameters,the study group had significantly lower apnea index,hypopnea index,and apnea-hypopnea index compared to the con-trol group after treatment,and the lowest SpO2 was higher,while the longest apnea time was shorter(P＜0.05).Regarding sleep parameters,the study group had shorter sleep latency,higher sleep efficiency,lower arousal index,and a higher percentage of N3 than the control group after treatment(P＜0.05).Conclusion:OA is an effective COMISA treatment method with high application value.
关键词
阻塞性睡眠呼吸暂停/失眠/阻塞性睡眠呼吸暂停与失眠共病/口腔矫治器/多导睡眠图/呼吸参数/睡眠参数/疗效Key words
Obstructive sleep apnea-hypopnea syndrome/Insomnia/Comorbid insomnia and sleep apnea/Oral appliances/Polysomnography/Respiratory parameters/Sleep parameters/Curative effect引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据