CAJ | 학술논문

目的：探讨压塑成形口腔矫治器（ OA）与CPAP 治疗阻塞性睡眠呼吸暂停综合征（ OS－AS）的临床疗效。方法：收集2012年9月至2014年9月于我院接受治疗的OSAS患者80例，按照随机数字表格法随机分为CPAP组与压塑成形OA组，各40例，分别给予CPAP 与压塑成形口腔矫治器治疗，随访6个月，比较两组患者多导睡眠图（ PSG）变化及临床症状。结果：治疗后两组患者呼吸暂停平均时间、低通气指数、暂停指数、最低血氧饱和度比较差异具有统计学意义（P 均＜0．05），组间比较差异无统计学意义（ P＞0．05）。两组患者治疗期间的舒适度比较差异具有统计学意义（χ2＝9．64，P＜0．05）。结论：OA与CPAP 治疗OSAS的临床疗效相似，建议两种方法交替应用，可有效改善患者病情，值得临床推广及应用。
목적：탐토압소성형구강교치기（ OA）여CPAP 치료조새성수면호흡잠정종합정（ OS－AS）적림상료효。방법：수집2012년9월지2014년9월우아원접수치료적OSAS환자80례，안조수궤수자표격법수궤분위CPAP조여압소성형OA조，각40례，분별급여CPAP 여압소성형구강교치기치료，수방6개월，비교량조환자다도수면도（ PSG）변화급림상증상。결과：치료후량조환자호흡잠정평균시간、저통기지수、잠정지수、최저혈양포화도비교차이구유통계학의의（P 균＜0．05），조간비교차이무통계학의의（ P＞0．05）。량조환자치료기간적서괄도비교차이구유통계학의의（χ2＝9．64，P＜0．05）。결론：OA여CPAP 치료OSAS적림상료효상사，건의량충방법교체응용，가유효개선환자병정，치득림상추엄급응용。
Objective:To investigate the clinical efficacy of compression molding oral appliance( OA) and CPAP in treatment of obstructive sleep apnea syndrome( OSAS) .Method:80 cases with OSAS were se-lected from our hospital during the period from Sep.2012 to Sep.2014, they were randomly divided into CPAP group and compression molding OA group according to a random number table method, 40 cases in each group, they were given CPAP and compression molding oral appliance, followed up for 6 months, poly-somnography ( PSG) changes and clinical symptoms of two groups were compared.Result:The average time of apnea, hypopnea index, apnea index, the lowest oxygen saturation after treatment of two groups had statis-tically significant( P <0.05) , there were no statistically significant between two groups ( P>0.05) .Comfort during treatment of two groups had statistically significant(χ2=9.64,P<0.05).Conclusion:OA and CPAP in treatment of OSAS has similar clinical efficacy, recommends the two methods used alternately, can effec-tively improve the patient's condition, worthy of promotion and application in clinical.