[1]石瑛琦,王培军,陈 萍,等.下颌前移矫治器治疗OSAHS的研究[J].医学信息,2019,32(11):39-41.[doi:10.3969/j.issn.1006-1959.2019.11.011]
　SHI Ying-qi,WANG Pei-jun,CHEN Ping,et al.Study on the Treatment of OSAHS with Mandibular Advancement Appliance[J].Journal of Medical Information,2019,32(11):39-41.[doi:10.3969/j.issn.1006-1959.2019.11.011]
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下颌前移矫治器治疗OSAHS的研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年11期
页码:
39-41
栏目:
综述
出版日期:
2019-06-01

文章信息/Info

Title:
Study on the Treatment of OSAHS with Mandibular Advancement Appliance
文章编号:
1006-1959（2019）11-0039-03
作者:
石瑛琦; 王培军; 陈 萍; 史雅绒
哈尔滨医科大学附属第二医院口腔正畸科，黑龙江 哈尔滨 150001
Author(s):
SHI Ying-qi; WANG Pei-jun; CHEN Ping; SHI Ya-rong
Department of Orthodontics,the Second Affiliated Hospital of Harbin Medical University,Harbin 150001,Heilongjiang,China
关键词:
下颌前移矫治器; 阻塞性睡眠呼吸暂停低通气综合征; 口腔矫治器
Keywords:
Key words：Mandibular advancement appliance; Obstructive sleep apnea hypopnea syndrome; Oral appliance
分类号:
R766
DOI:
10.3969/j.issn.1006-1959.2019.11.011
文献标志码:
A
摘要:
有大量研究证实，口腔矫治器可有效治疗阻塞性睡眠呼吸暂停综合征（OSAHS）。其中下颌前移矫治器具有成本低，无创伤，患者易接受等优势，在临床中最为常见。使用下颌前移矫治器治疗过程中，应注重全面的追踪随访及监测，减少副反应，提高临床疗效。本文针对的下颌前移矫治器作用机制、临床效果、副作用等方面进行综述。
Abstract:
Abstract：A large number of studies have confirmed that oral appliances can effectively treat obstructive sleep apnea syndrome (OSAHS). Among them, the mandibular advancement appliance has the advantages of low cost, no trauma, and easy acceptance by patients, and is most common in clinical practice. During the treatment of the mandibular advancement appliance, comprehensive follow-up and monitoring should be emphasized to reduce side effects and improve clinical outcomes. This article reviews the mechanism, clinical effects and side effects of the mandibular advancement appliance.

参考文献/References:

[1]Lorenzi-Filho G,Almeida FR,Strollo PJ.Treating OSA:Current and emerging therapies beyond CPAP[J].Respirology,2017,22(8):1500-1507. [2]Ramar K,Dort LC,Katz SG,et al.Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy:An Update for 2015[J].J Clin Sleep Med,2015,11(7):773-827. [3]胡碧,王茂筠,王怡唯,等.夜间动态血氧饱和度监测对代谢综合征合并阻塞性睡眠呼吸暂停低通气综合征患者的意义研究[J].中国全科医学,2017,20(11):1287-1293. [4]Basyuni S,Barabas M,Quinnell T.An update on mandibular advancement devices for the treatment of obstructive sleep apnoea hypopnoea syndrome[J].J Thorac Dis,2018,10(Suppl 1):S48-S56. [5]Brown EC,Cheng S,McKenzie DK,et al.Respiratory Movement of Upper Airway Tissue in Obstructive Sleep Apnea[J].Sleep,2013,36(7):1069-1076. [6]Edwards BA,Andara C,Landry S,et al.Upper-airway collapsibility and loop gain predict the response to oral appliance therapy in obstructive sleep apnea patients[J].Am J Respir Crit CareMed,2016,194(11):1413-1422. [7]Anandam A,Patil M,Akinnusi M,et al.Cardiovascular mortality in obstructive sleep apnoea treated with continuous positive airway pressure or oral appliance:an observational study[J].Respirology,2013,18(8):1184-1190. [8]赵健,张宗德.口腔矫治器治疗OSAHS的适应证和疗效评价临床研究[J].医学论坛杂志,2016,37(6):55-58. [9]Martins OFM,Chaves Junior CM,Rossi RRP,et al.Side effects of mandibular advancement splints for the treatment of snoring and obstructive sleep apnea:a systematic review[J].Dental Press J Orthod,2018,23(4):45-54. [10]Bratton DJ,Gaisl T,Wons AM,et al.CPAP vs mandibular advancement devices and blood pressure in patients with obstructive sleep apnea:a systematic review and meta-analysis[J].JAMA,2015,314(21):2280-2293. [11]Dal-Fabbro C,Garbuio S,D'Almeida V,et al.Mandibular advancement device and CPAP upon cardiovascular parameters in OSA[J].Sleep Breath,2014,18(4):749-759. [12]Phillips CL,Grunstein RR,Darendeliler MA,et al.Health outcomes of continuous positive airway pressure versus oral appliance treatment for obstructive sleep apnea:a randomized controlled trial[J].Am J Respir Crit Care Med,2013,187(5):879-887. [13]管增娥,姜稳妮,杨永国,等.口腔矫治器治疗OSAHS合并高血压的临床疗效[J].实用口腔医学杂志,2014,30(4):568-569. [14]Lin CC,Wang HY,Chiu CH,et al.Effect of oral appliance on endothelial function in sleep apnea[J].Clin Oral Investig,2015,19(2):437-444. [15]de Vries GE,Wijkstra PJ,Houwerzijl EJ,et al.Cardiovascular effects of oral appliance therapy in obstructive sleep apnea:A systematic review and meta-analysis[J].Sleep Med Rev,2018,40(10):55-68. [16]夏春鹏,林燕辉,李岩,等.口腔矫治器治疗OSAHS患者焦虑抑郁及心理状态影响的研究[J].山东大学耳鼻喉学报,2014,28(2):29-32. [17]腾雍辉,张沙沙,张佐,等.OSAHS患者经口腔矫治器治疗前后心理状况改变的临床研究[J].宁夏医学杂志,2014,36(6):505-507. [18]Sarkhosh K,Switzer NJ,El-Hadi M,et al.The impact of bariatric surgery on obstructive sleep apnea:a systematic review[J].Obes Surg,2013,23(3):414-423. [19]Schell TG.Avoiding and Managing Oral Appliance Therapy Side Effects[J].Sleep Med Clin,2018,13(4):503-512. [20]Aarab G,Lobbezoo F,Hamburger HL,et al.Effects of an oral appliance with different mandibular protrusion positions at a constant vertical dimension on obstructive sleep apnea[J].Clin Oral Investig,2010,14(3):339-345. [21]Hamoda MM,Almeida FR,Pliska BT.Long-term side effects of sleep apnea treatment with oral appliances:nature,magnitude and predictors of long-term changes[J].Sleep Med,2019(56):184-191. [22]Doff MH,Finnema KJ,Hoekema A,et al.Long-term oral appliance therapy in obstructive sleep apnea syndrome:a controlled study on dental side effects[J].Clin Oral Investig,2013,17(2):475-482. [23]Pliska BT,Nam H,Chen H,et al.Obstructive sleep apnea and mandibular advancement splints: occlusal effects and progression of changes associated with a decade of treatment[J].J Clin Sleep Med,2014,10(12):1285-1291. [24]Marklund M.Update on Oral Appliance Therapy for OSA[J].Curr Sleep Med Rep,2017,3(3):143-151. [25]Perez CV,de Leeuw R,Okeson JP,et al.The incidence and prevalence of temporomandibular disorders and posterior open bite in patients receiving mandibular advancement device therapy for obstructive sleep apnea[J].Sleep Breath,2013,17(1):323-332. [26]Suzuki K,Nakata S,Tagaya M,et al.Prediction of oral appliance treatment outcome in obstructive sleep apnoea syndrome:a preliminary study[J].B-ENT,2014,10(3):185-191. [27]Ng AT,Qian J,Cistulli PA.Oropharyngeal collapse predicts treatment response with oral appliance therapy in obstructive sleep apnea[J].Sleep,2006,29(5):666-671. [28]Lee CH,Jung HJ,Lee WH,et al.The effect of positional dependency on outcomes of treatment with a mandibular advancement device[J].Arch Otolaryngol Head Neck Surg,2012,138(5):479-483. [29]Ng AT,Darendeliler MA,Petocz P,et al.Cephalometry and prediction of oral appliance treatment outcome[J].Sleep Breath,2012,16(1):47-58. [30]Ringqvist M,Walker-Engstrom ML,Tegelberg A,et al.Dental and skeletal changes after 4 years of obstructive sleep apnea treatment with a mandibular advancement device:a prospective, randomized study[J].Am J Orthod Dentofac Orthop,2003,124(1):53-60. [31]Sharples LD,Clutterbuck-James AL,Glover MJ,et al.Meta-analysis of randomised controlled trials of oral mandibular advancement devices and continuous positive airway pressure for obstructive sleep apnoea-hypopnoea[J].Sleep Med Rev,2016,27(5):108-124. [32]Galic T,Bozic J,Pecotic R,et al.Improvement of Cognitive and Psychomotor Performance in Patients with Mild to Moderate Obstructive Sleep Apnea Treated with Mandibular Advancement Device: A Prospective 1-Year Study[J].J Clin Sleep Med,2016,12(2):177-186. [33]Saglam-Aydinatay B,Taner T.Oral appliance therapy in obstructive sleep apnea:Long-term adherence and patients'experiences[J].Med Oral Patol Oral Cir Bucal,2018,23(1):e72-e77.

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更新日期/Last Update: 2019-06-01