使用下颌推进装置评估阻塞性睡眠呼吸暂停综合征患者的睡眠体位变化。

IF 1.8 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Frontiers in dental medicine Pub Date : 2025-03-05 eCollection Date: 2025-01-01 DOI:10.3389/fdmed.2025.1524334
Domenico Ciavarella, Donatella Ferrara, Carlotta Fanelli, Graziano Montaruli, Giuseppe Burlon, Michele Laurenziello, Lucio Lo Russo, Fariba Esperouz, Michele Tepedino, Mauro Lorusso
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引用次数: 0

摘要

背景:本研究的目的是评估阻塞性睡眠呼吸暂停(OSA)综合征患者在使用和不使用下颌推进装置(MAD)时睡眠中的体位变化。方法:回顾性分析73例经多导睡眠图证实为阻塞性睡眠呼吸暂停综合征的成年白种人患者。纳入标准如下:年龄0 ~ 20岁,体重指数2,多导睡眠图诊断为OSA,非吸烟者,诊断时无合并症,有MAD治疗。两次多导睡眠图监测:一次在诊断时(T0),另一次在治疗3个月后(T1)。评估的参数为呼吸暂停低通气指数、氧饱和度指数、移位总次数和移位指数(每小时移位次数)。由于变量未通过正态性检验,因此采用Wilcoxon检验分析T0和T1时多导睡眠图参数均值之间的相关性。每个变量的T1和T0值之间的差异使用Spearman的rho相关检验进行评估。结果和结论:与开始使用MAD相比,使用MAD后所有参数,包括呼吸和体位测量均显著降低。Spearman相关检验揭示了睡眠体位移位次数、睡眠体位移位指数与氧去饱和指数之间的关系。然而,呼吸暂停低通气指数与体位值之间无显著相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Evaluation of sleep position shifts in patients with obstructive sleep apnea syndrome with the use of a mandibular advancement device.

Evaluation of sleep position shifts in patients with obstructive sleep apnea syndrome with the use of a mandibular advancement device.

Evaluation of sleep position shifts in patients with obstructive sleep apnea syndrome with the use of a mandibular advancement device.

Evaluation of sleep position shifts in patients with obstructive sleep apnea syndrome with the use of a mandibular advancement device.

Background: The aim of this study was to evaluate position shifts during sleep of patients with obstructive sleep apnea (OSA) syndrome both with and without the use of a mandibular advancement device (MAD).

Methods: In total, 73 adult Caucasian patients diagnosed with obstructive sleep apnea syndrome confirmed by polysomnography were retrospectively enrolled. Inclusion criteria were as follows: age >20 years, body mass index <34 kg/m2, polysomnographic diagnosis of OSA, non-smoker, absence of comorbidities at diagnosis, and treatment with a MAD. Two polysomnographic monitoring were performed: one at the time of diagnosis (T0) and another after 3 months of treatment (T1). The parameters evaluated were the apnea-hypopnea index, oxygen desaturation index, the total number of position shifts, and position shift index (number of shifts per hour). Since the variables failed the normality test, the Wilcoxon test was performed to analyze the correlation between the mean of polysomnographic parameters at T0 and T1. The difference between the T1 and T0 values for each variable was evaluated using Spearman's rho correlation test. Statistical significance was set at p < 0.05.

Results and conclusions: All the parameters, including respiratory and positional measures, were significantly reduced after the use of a MAD compared to the beginning. Spearman's correlation test revealed a relationship between the total number of sleep position shifts and the sleep position shift index with the oxygen desaturation index. However, no significant correlation was observed between the apnea-hypopnea index and the positional values.

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