口腔面肌功能治疗对阻塞性睡眠呼吸暂停的影响:系统综述

Q3 Nursing
Andrea Marcela Medina-Rodríguez, Rosa Virgina Mora-Guerra
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引用次数: 0

摘要

阻塞性睡眠呼吸暂停(OSA)发生时,上呼吸道塌陷在睡眠中。近年来,肌功能锻炼已成为一种有希望的治疗方法。本研究回顾了2006年至2023年间发表的临床试验,以评估其对成人OSA患者的有效性。在1217篇分析文章中,有6篇符合纳入标准。参与者年龄从19岁到85岁不等,诊断方法包括多导睡眠图、呼吸暂停低通气指数、爱普沃斯嗜睡量表、BMI和颈围。结果显示,言语治疗可显著降低OSA严重程度,改善呼吸暂停低通气指数、颈围和日间症状,参考p值(< 0.05)。总之,针对口面部肌肉和呼吸、咀嚼和吞咽等功能的肌功能锻炼是治疗OSA和促进CPAP设备依从性的有效选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efecto de la terapia miofuncional orofacial en la apnea obstructiva del sueño: revisión sistemática
Obstructive sleep apnea (OSA) occurs when the upper airway collapses during sleep. In recent years, myofunctional exercises have emerged as a promising alternative for its treatment. This study reviewed clinical trials published between 2006 and 2023 to evaluate their effectiveness in adults with OSA. Out of 1,217 analyzed articles, six met the inclusion criteria. Participants ranged from 19 to 85 years old, and diagnostic methods included polysomnography, the apnea-hypopnea index, the Epworth Sleepiness Scale, BMI, and neck circumference. The results showed that speech therapy significantly reduces OSA severity, improving the apnea hypopnea index, neck circumference, and daytime symptoms, with a reference p-value (<.05). In conclusion, myofunctional exercises targeting orofacial muscles and functions such as breathing, chewing, and swallowing represent an effective alternative for managing OSA and promoting adherence to CPAP devices.
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CiteScore
1.10
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