Domenico Ciavarella, Alessandra Campobasso, Angela Pia Cazzolla, Carmela Suriano, Eleonora Lo Muzio, Laura Guida, Fabio Salcuni, Michele Laurenziello, Gaetano Illuzzi, Giuseppe Burlon, Michele Tepedino
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引用次数: 0
摘要
目的：下颌推进装置（MAD）实际上被推荐用于治疗轻度或中度阻塞性睡眠呼吸暂停（OSA）。本研究评估了一种完全可定制的mad型设备（It Makes You Sleep， IMYS）在中重度OSA患者中的效果。方法：29例患者(男15例，女14例；平均年龄62岁，SD±10岁)。所有患者在基线（T0）和IMYS治疗三个月后（T1）进行家庭睡眠呼吸暂停测试（HSAT）。分析呼吸参数为：呼吸暂停低通气指数（AHI）、氧去饱和指数（ODI）、最小氧饱和度（minSO2）和中氧饱和度（medSO2）。结果：从T0到T1， AHI和ODI明显降低，minSO2和medSO2明显升高。结论：IMYS装置是治疗中重度OSA的一种有效的MAD器械。
The efficacy of a modified mandibular advancement device for OSA treatment in a group of adult patients.
Objective: The Mandibular Advancement Device (MAD) is actually recommended for the treatment of Obstructive Sleep Apnea (OSA) with mild or moderate severity. The present study evaluated the effects of a fully customizable MAD-type device (It Makes You Sleep, IMYS), in patients with moderate-to-severe OSA.
Methods: Twenty-nine patients (15 men and 14 women; mean age 62, SD ±10 years) were retrospectively enrolled. Home Sleep Apnea Testing ;(HSAT) was performed for all patients at baseline (T0) and after three months (T1) of IMYS therapy. The analyzed respiratory parameters were: Apnea-Hypopnea Index (AHI), Oxygen Desaturation Index (ODI), Minimum Oxygen Saturation (minSO2) and Medium Oxygen Saturation (medSO2).
Results: From T0 to T1, a significant reduction of AHI and ODI was reported, as well as a significant increase of minSO2 and medSO2.
Conclusion: The IMYS device could be an effective MAD appliance for treating moderate-to-severe OSA.
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.
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