CAJ | 학술논문

目的探讨保守治疗前后阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患儿睡眠结构的变化.方法采用口腔矫治器对15例确诊为睡眠呼吸暂停低通气综合征的儿童进行保守治疗,利用多导睡眠呼吸监测仪(PSG)分别于治疗前、后进行夜间睡眠监测来评价疗效.结果治疗后患儿的S1期所占比例减少、S2期和快动眼睡眠期(REM)所占比例增加,但与治疗前比较无均明显差异(P>0.05),而慢波睡眠期所占比例则由治疗前的17.80±4.02增加至21.01±3.05,其变化有统计学意义(P<0.05);治疗后呼吸暂停低通气指数和微觉醒指数较治疗前明显降低(P<0.05),而最低血氧饱和度和睡眠效率则较治疗前显著提高(P<0.01).结论口腔矫治器能改善上气道通气形态,从而达到纠正低血氧浓度,改善睡眠结构,提高睡眠质量的作用.
목적탐토보수치료전후조새성수면호흡잠정저통기종합정(OSAHS)환인수면결구적변화.방법채용구강교치기대15례학진위수면호흡잠정저통기종합정적인동진행보수치료,이용다도수면호흡감측의(PSG)분별우치료전、후진행야간수면감측래평개료효.결과치료후환인적S1기소점비례감소、S2기화쾌동안수면기(REM)소점비례증가,단여치료전비교무균명현차이(P>0.05),이만파수면기소점비례칙유치료전적17.80±4.02증가지21.01±3.05,기변화유통계학의의(P<0.05);치료후호흡잠정저통기지수화미각성지수교치료전명현강저(P<0.05),이최저혈양포화도화수면효솔칙교치료전현저제고(P<0.01).결론구강교치기능개선상기도통기형태,종이체도규정저혈양농도,개선수면결구,제고수면질량적작용.
Objective To investigate the differences of sleep structure preoperatively and postoperatively with obstructive sleep apnea hypopnea syndrom (OSAHS) children with conservative treatments. Methods 15 patients were treated with Conservative treatment by oral appliance. Polsomnogrophy (PSG) were evaluated before and after treatments. Results The proportion of S1 period decreased, S2 and REM period increased, but these were not significantly difference (P>0.05).But SWS increased 17.80±4.02 to21.01±3.05, and its changes have statistical significance (P < 0.05); After treatment of AHI and MAI was significantly reduced (P < 0.05), but LSPO2 and SE were improved significantly (P<0.01). Conclusion The oral appliance can improve the shape of upper airway in OSAHS patients. So as to achieve correct low oxygen concentration, improve sleep structure and sleep quality of the role.