阻塞性睡眠呼吸暂停患者体位变化与睡眠质量的关系通过口腔器械得到改善

IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2025-06-06 DOI:10.1016/j.ajoms.2025.05.013

Takahiro Suzuki , Takahiro Ikemori , Shintaro Satou , Hironori Miyamoto , Kenichiro Ishibashi , Shuhei Tsuchiya , Shinichiro Kato , Yasuyuki Shibuya

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引用次数: 0

摘要

梗阻性睡眠呼吸暂停（OSA）受睡眠时体位的影响。然而，阻塞性睡眠呼吸暂停与睡眠姿势变化次数之间的关系尚未得到研究。为了阐明这种关系，我们比较并分析了口腔矫具（OA）装配前后的多导睡眠图（PSG）结果，重点研究了因使用OA而改善OSA的患者睡眠期间体位变化次数的变化。方法回顾性分析26例OSA患者（男18例，女8例，平均年龄60.6±12.0岁）在我院行PSG治疗，经OA治疗后呼吸暂停低通气指数（AHI）有所改善。评估体位变化指数（PCI）、睡眠阶段、醒后时间（WASO）、觉醒指数（ArI）和3 %氧去饱和指数（ODI）等指标。结果OA拟合后PCI明显降低（p <0.05），表明睡眠中体位变化次数减少。睡眠质量得到改善，N1期睡眠显著降低（p <0.01）， WASO (p <0.05), ArI (p <0.01), 3 % ODI (p <0.01)， N2期睡眠显著增加（p <0.01）。重度OSA患者PCI降低显著（p <0.05）。睡眠质量的改善在PCI减少组比PCI增加组更明显。结论soa可减少体位变化，提高睡眠质量，尤其是重症患者，改善睡眠稳定性。需要进一步的研究。

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The association between positional changes and the sleep quality in patients with obstructive sleep apnea improved by an oral appliance

Introduction

Obstructive sleep apnea (OSA) is affected by the body position during sleep. However, the relationship between OSA and the number of times sleep position changes has not been examined. To clarify this relationship, we compared and analyzed polysomnography (PSG) results before and after oral appliance (OA) fitting, focusing on changes in the number of position changes during sleep in patients whose OSA improved due to OA use.

Methods

we retrospectively analyzed 26 OSA patients (18 males, 8 females; mean age 60.6 ± 12.0 years old) who underwent PSG at our hospital and demonstrated improvement in the apnea-hypopnea index (AHI) after OA use. Items such as the postural change index (PCI), sleep stages, wake time after sleep onset (WASO), arousal index (ArI), and 3 % oxygen desaturation index (ODI) were evaluated.

Results

After OA fitting, the PCI significantly decreased (p <0.05), indicating a reduced number of body position changes during sleep. The sleep quality improved, as evidenced by a significant decrease in N1 stage sleep (p <0.01), WASO (p <0.05), ArI (p <0.01), and 3 % ODI (p <0.01) and a significant increase in N2 stage sleep (p <0.01). The reduction in the PCI was significant in the patients with severe OSA (p <0.05). Improvements in the sleep quality were more pronounced in the PCI decrease group than in the PCI increase group.