中国实用口腔科杂志

中国实用口腔科杂志 ›› 2011, Vol. 4 ›› Issue (05): 291-293.

• 论著 • 上一篇    下一篇

两种方法制作的Silensor阻鼾器治疗阻塞性睡眠呼吸暂停综合征疗效比较研究

  

  1. 大连市口腔医院 a 修复科 b 种植科，辽宁  大连 116021
  • 收稿日期:2011-01-20 修回日期:2011-04-20 出版日期:2011-05-15 发布日期:2011-07-04

  • Received:2011-01-20 Revised:2011-04-20 Online:2011-05-15 Published:2011-07-04

摘要：

目的    对比观察按全可调牙合架方法制作的Silensor阻鼾器和按厂家推荐方法制作的Silensor阻鼾器治疗阻塞性睡眠呼吸暂停综合征（OSAS）的临床疗效。方法    选择2009年6月至2010年6月于大连市口腔医院修复科就诊的OSAS患者30例，随机分为A、B 两组，每组15例，分别戴用按厂家推荐方法制作的Silensor阻鼾器和按全可调牙合架方法制作的Silensor阻鼾器进行治疗。于戴用后2个月随访，记录患者主观感觉，临床检查患者肌肉组织疼痛发生情况，拍摄3D锥形束口腔CT测量上呼吸道直径，计算横截面积。结果    （1） A、B两组患者戴用阻鼾器后鼾症、夜间醒来次数和白天困倦情况均有改善；（2）使用阻鼾器过程中，A组患者中有5例出现翼外肌压痛， B组患者中无一例出现肌肉疼痛症状，两组间比较，差异有统计学意义（P＜0.05）。（3）CT头影测量结果表明，A组患者使用阻鼾器前后，仅口咽部横截面积增大差异有统计学意义（P＜0.05）；而B组患者阻鼾器使用前后，口咽部、鼻咽部和喉咽部横截面积增大差异均有统计学意义（P＜0.05）。结论    使用全可调牙合架方法制作的Silensor阻鼾器比使用厂家推荐方法制作的Silensor阻鼾器治疗OSAS效果更好。

关键词: 阻塞性睡眠呼吸暂停综合征, 全可调牙合架, 阻鼾器, 计算机辅助诊断髁突运动轴描记仪

Abstract:

Objective    We performed a comparative evaluation of the efficacy of two Silensor anti-snoring system therapies made according to instruction book and full-adjustable articulator respectively. Methods    All 30 patients were diagnosed with OSAS in Dalian Stomatology Hospital from Jun. 2009 to Jun. 2010. They were divided to two groups randomly. Group A （n=15） was given Silensor appliances made on the instruction of the manufacturer and group B （n=15） used full-adjustable articulator. After wearing Silensor appliances for two months，clinical follow-up was done；all patients were investigated about patients’ complaints and cone beam CT. Record the side-effect of muscle and TMJ pain. Results    （1）Using the Silensor appliances alleviated the symptoms of snoring，reducing times of awaking during the night and sleepiness in the daytime in both group A and group B. （2） Five patients appeared lateral pterygoid muscle pain in group A and no muscle pain in group B，the difference being statistically significant（P＜0.05）. （3）The results showed by the cephalometry：the sectional area of pars oralis pharyngis increased after application of silensor appliances in group A，the difference being statistically significant（P＜0.05）. However，the sectional area of pars oralis pharyngis， nasopharynx and laryngohypopharynx increased after application of Silensor appliances in group B，the difference being statistically significant（P＜0.05）. Conclusion    The Silensor appliances made by full-adjustable articulator for OSAS are more effective.

Key words: OSAS；full-adjustable articulator；Silensor appliances；CADIAX