阻塞性睡眠呼吸暂停患者对舌头稳定装置的依从性和副作用。

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-03-01 Epub Date: 2021-04-25 DOI:10.1080/08869634.2021.1917900

Waled M Alshhrani, Yuuya Kohzuka, Kentaro Okuno, Mona M Hamoda, John A Fleetham, Fernanda R Almeida

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引用次数: 0

摘要

目的：评估舌头稳定装置（TSD）的长期有效性、依从性和副作用：评估舌头稳定装置（TSD）的长期有效性、依从性和副作用：分别在 12 个月和 30 个月后对 39 名患者进行随访。采用埃普沃思嗜睡量表（ESS）、功能性结果睡眠问卷（FOSQ-10）、查尔德疲劳量表（CFQ）和睡眠相关生活质量问卷（QoL）评估主观有效性。对依从性和副作用进行了评估：12个月时，35.9%的患者确认继续接受治疗，而30个月时只有15.4%的患者确认继续接受治疗。在 30 个月时，有 6 名患者的 ESS 平均值（2.0 ± 2.8）与基线水平相比有明显改善。六名患者的血压平均有所上升。最常见的副作用是口干和唾液分泌过多。三维分析显示牙齿移动较小：TSD疗法对OSA具有良好的长期主观疗效，但治疗接受率相对较低。

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Compliance and side effects of tongue stabilizing device in patients with obstructive sleep apnea.

Objective: To evaluate the long-term effectiveness, compliance, and side effects of tongue stabilizing devices (TSDs).

Methods: Thirty-nine patients were followed up after 12 and 30 months. The subjective effectiveness was assessed using the Epworth Sleepiness Scale (ESS), the Functional Outcomes Sleep Questionnaire (FOSQ-10), the Chalder Fatigue Scale (CFQ), and a sleep-related quality of life questionnaire (QoL). Compliance and side effects were assessed.

Results: At 12-months, 35.9% of patients confirmed continuing the therapy, compared to only 15.4% of patients at 30 months. At 30 months, a significant average improvement of ESS (2.0 ± 2.8) was observed compared to baseline levels in six patients. Six patients demonstrated an average increase in blood pressure. The most frequently reported side effects were mouth dryness and excessive salivation. The 3D analysis revealed small tooth movements.

Conclusion: The TSD therapy demonstrated a good long-term subjective effectiveness against OSA but had a relatively low treatment acceptance rate.

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.