The role of mouth tape for CPAP use in mouth breathing patients with OSA.

IF 2.9 3区医学 Q1 CLINICAL NEUROLOGY

Journal of Clinical Sleep Medicine Pub Date : 2025-09-18 DOI:10.5664/jcsm.11870

Avika Meksukree, Sirincha Pitipanyakul, Wasin Laohavinij, Busarakam Chaitusaney, Naricha Chirakalwasan, Prakobkiat Hirunwiwatkul, Natamon Charakorn

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引用次数: 0

Abstract

Study objectives: To assess the use of mouth tape in patients with mouth breathing during continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea (OSA), focusing on CPAP adherence. Additional outcomes included daytime sleepiness (Epworth Sleepiness Scale (ESS)), snoring (visual analog scale (VAS)), night awakenings, mouth/throat dryness, leakage, and adverse effects.

Methods: This randomized crossover study compared CPAP adherence with and without silicone hypoallergenic mouth tape. Participants used each intervention for 30 days, separated by a one-week washout period. After each period, CPAP data (adherence, apnea-hypopnea index (AHI), leakage) and questionnaires were retrieved.

Results: Sixty-two patients with OSA (36 males; AHI (mean ± standard deviation), 45.8 ± 22.2 events/h; age, 57.7 ± 17.6 years; BMI, 27.9 ± 7.1 kg/m²) were randomized. Participants using mouth tape, compared to those without, showed better CPAP adherence: average use increased by 51.8 minutes per day (95% CI, 33.1 to 70.4) and by 41.4 minutes per used day (95% CI, 27.9 to 55.0). Frequency of use increased by 14.2% (95% CI, 9.3 to 19.0), with 17.6% more days reaching ≥4 hours/night (95% CI, 12.7 to 22.6). Good adherence increased with an odds ratio of 4.5. Mouth tape statistically improved ESS, snoring VAS, mouth/throat dryness, and night awakenings. Adverse effects were reported.

Conclusions: Using mouth tape in patients with mouth breathing during CPAP improved CPAP adherence in both duration and frequency. Unfavorable symptoms related to OSA, or CPAP were alleviated, leading to better sleep quality.

Clinical trial registry: Registry: Thai Clinical Trials Registry; Title: The role of mouth tape for continuous positive airway pressure in obstructive sleep apnea; Identifier: TCTR20250425002; URL: www.thaiclinicaltrials.org/show/TCTR20250425002.

查看原文本刊更多论文

口腔胶带在阻塞性睡眠呼吸暂停口腔呼吸患者中应用CPAP的作用。

研究目的：评估持续气道正压通气（CPAP）治疗阻塞性睡眠呼吸暂停（OSA）期间口腔呼吸患者使用口带的情况，重点关注CPAP的依从性。其他结果包括白天嗜睡（Epworth嗜睡量表（ESS））、打鼾（视觉模拟量表（VAS））、夜间醒来、口/喉干燥、渗漏和不良反应。方法：这项随机交叉研究比较了使用和不使用低过敏性硅胶口腔胶带的CPAP依从性。参与者使用每种干预方法30天，中间间隔一周的洗脱期。每个周期结束后，检索CPAP数据（依从性、呼吸暂停-低通气指数（AHI）、泄漏）和问卷。结果：OSA患者62例(男性36例；AHI（平均值±标准差），45.8±22.2事件/h；年龄57.7±17.6岁；体重指数（27.9±7.1 kg/m2）随机分组。与没有使用口带的参与者相比，使用口带的参与者表现出更好的CPAP依从性：平均每天使用增加51.8分钟（95% CI， 33.1至70.4），每天使用增加41.4分钟（95% CI， 27.9至55.0）。使用频率增加了14.2% (95% CI， 9.3至19.0)，17.6%的天数达到≥4小时/夜（95% CI， 12.7至22.6）。良好的依从性增加，优势比为4.5。口腔胶带在统计学上改善了ESS、打鼾VAS、口腔/喉咙干燥和夜间醒来。有不良反应的报道。结论：口腔呼吸患者在CPAP期间使用口带可改善CPAP持续时间和频率。与OSA或CPAP相关的不良症状得到缓解，导致睡眠质量改善。临床试验注册：registry：泰国临床试验注册中心；题目：口带在阻塞性睡眠呼吸暂停患者持续气道正压通气中的作用；标识符:TCTR20250425002;URL: www.thaiclinicaltrials.org/show/TCTR20250425002。

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来源期刊

Journal of Clinical Sleep Medicine CLINICAL NEUROLOGY-

CiteScore

6.20

自引率

7.00%

发文量

321

审稿时长

1 months

期刊介绍： Journal of Clinical Sleep Medicine focuses on clinical sleep medicine. Its emphasis is publication of papers with direct applicability and/or relevance to the clinical practice of sleep medicine. This includes clinical trials, clinical reviews, clinical commentary and debate, medical economic/practice perspectives, case series and novel/interesting case reports. In addition, the journal will publish proceedings from conferences, workshops and symposia sponsored by the American Academy of Sleep Medicine or other organizations related to improving the practice of sleep medicine.