当CPAP失败时继续前进

Sleep Disorders Pub Date : 2019-08-01 DOI:10.1093/MED/9780190671099.003.0054

Todd Coy, R. Mehra, C. Bae

{"title":"当CPAP失败时继续前进","authors":"Todd Coy, R. Mehra, C. Bae","doi":"10.1093/MED/9780190671099.003.0054","DOIUrl":null,"url":null,"abstract":"This chapter discusses the role of oral appliance (OA) therapy for treating obstructive sleep apnea (OSA). Positive airway pressure (PAP) therapy is often the first-line treatment for OSA, but the average PAP adherence is approximately 50%. OA is a good alternative to PAP therapy that can be combined with other conservative options, such as weight loss and positional therapy. Many patients with OSA who cannot tolerate PAP therapy may be able to be managed by OA. Short-term side effects of OA device usage for OSA include tooth pain, gum soreness/gingival irritation, muscle soreness, myofascial pain, excessive salivation, dryness, and abnormal occlusion. OA adherence for OSA treatment is greater than that observed for PAP and shows comparable improvement in subjective sleepiness. PAP therapy continues to show greater improvement in the apnea/hypopnea and hypoxia index.","PeriodicalId":30275,"journal":{"name":"Sleep Disorders","volume":"67 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Moving Forward When CPAP Fails\",\"authors\":\"Todd Coy, R. Mehra, C. Bae\",\"doi\":\"10.1093/MED/9780190671099.003.0054\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"This chapter discusses the role of oral appliance (OA) therapy for treating obstructive sleep apnea (OSA). Positive airway pressure (PAP) therapy is often the first-line treatment for OSA, but the average PAP adherence is approximately 50%. OA is a good alternative to PAP therapy that can be combined with other conservative options, such as weight loss and positional therapy. Many patients with OSA who cannot tolerate PAP therapy may be able to be managed by OA. Short-term side effects of OA device usage for OSA include tooth pain, gum soreness/gingival irritation, muscle soreness, myofascial pain, excessive salivation, dryness, and abnormal occlusion. OA adherence for OSA treatment is greater than that observed for PAP and shows comparable improvement in subjective sleepiness. PAP therapy continues to show greater improvement in the apnea/hypopnea and hypoxia index.\",\"PeriodicalId\":30275,\"journal\":{\"name\":\"Sleep Disorders\",\"volume\":\"67 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sleep Disorders\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1093/MED/9780190671099.003.0054\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep Disorders","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/MED/9780190671099.003.0054","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

摘要

本章讨论口腔矫治器(OA)治疗阻塞性睡眠呼吸暂停(OSA)的作用。气道正压(PAP)治疗通常是OSA的一线治疗方法，但PAP的平均依从性约为50%。OA是PAP治疗的一个很好的替代方案，可以与其他保守治疗方案结合，如减肥和体位治疗。许多不能耐受PAP治疗的OSA患者可以通过OA进行治疗。使用OA设备治疗OSA的短期副作用包括牙痛、牙龈酸痛/牙龈刺激、肌肉酸痛、肌筋膜疼痛、流涎过多、干燥和异常咬合。OSA治疗的OA依从性高于PAP治疗，主观嗜睡也有相应的改善。PAP治疗在呼吸暂停/低呼吸和缺氧指数方面继续显示出更大的改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Moving Forward When CPAP Fails

This chapter discusses the role of oral appliance (OA) therapy for treating obstructive sleep apnea (OSA). Positive airway pressure (PAP) therapy is often the first-line treatment for OSA, but the average PAP adherence is approximately 50%. OA is a good alternative to PAP therapy that can be combined with other conservative options, such as weight loss and positional therapy. Many patients with OSA who cannot tolerate PAP therapy may be able to be managed by OA. Short-term side effects of OA device usage for OSA include tooth pain, gum soreness/gingival irritation, muscle soreness, myofascial pain, excessive salivation, dryness, and abnormal occlusion. OA adherence for OSA treatment is greater than that observed for PAP and shows comparable improvement in subjective sleepiness. PAP therapy continues to show greater improvement in the apnea/hypopnea and hypoxia index.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Sleep Disorders

自引率

0.00%

发文量

审稿时长

21 weeks

期刊介绍： Sleep Disorders is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to all aspects of sleep disorders.