不同治疗方法对阻塞性睡眠呼吸暂停患者睡眠质量影响的研究进展

摘要/Abstract

摘要： 阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea-hypopnea syndrome,OSAHS）是一种睡眠呼吸疾病，该病病因复杂，影响患者的睡眠质量和生活质量。本文综述各种治疗方法对OSAHS患者睡眠质量的影响，这将对OSAHS的治疗具有临床意义。

关键词: 阻塞性睡眠呼吸暂停低通气综合征, 持续气道正压通气, 正畸治疗, 外科手术, 睡眠质量, 睡眠分期

Abstract: Obstructive sleep apnea-hypopnea syndrome(OSAHS) is a kind of sleep respiratory disease, whose pathogenesis is complex and can affect the sleep and life quality of patients. This paper will review the influence of various treatment methods on sleep quality of OSAHS patients and have clinical significance for the treatment on OSAHS.

Key words: obstructive sleep apnea-hypopnea syndrome, continuous positive airway pressure, orthodontic treatment, surgery, sleep quality, sleep architecture

中图分类号:

R783.5

饶明聪王玲黄敏方. 不同治疗方法对阻塞性睡眠呼吸暂停患者睡眠质量影响的研究进展[J]. 口腔医学, 2021, 41(1): 87-91.

参考文献

[1]肖毅.成人阻塞性睡眠呼吸暂停基层诊疗指南[J].中华全科医师杂志,2019,18(1):30-35.
[2]叶京英.成人阻塞性睡眠呼吸暂停多学科诊疗指南[J].中华医学杂志,2018,98(24):1902-1914.
[3]Hong SO,Chen YF,Jung J,et al. Hypoglossal nerve stimulation for treatment of obstructive sleep apnea (OSA): a primer for oral and maxillofacial surgeons[J]. Maxillofac Plast Reconstr Surg ,2017,39(1):27.
[4]王菡侨.中国睡眠研究会睡眠教育专业委员会专家讲座答疑第九讲睡眠呼吸暂停综合征[J].世界睡眠医学杂志,2017,4(5):314-322.
[5]Kapur VK,Auckley DH,Chowdhuri S,et al. Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline.[J].J Clin Sleep Med, 2017, 13(3): 479-504.
[6]Zhang Y,Ren R,Lei F,et al. Worldwide and regional prevalence rates of co-occurrence of insomnia and insomnia symptoms with obstructive sleep apnea: A systematic review and meta-analysis.[J] .Sleep Med Rev, 2019, 45: 1-17.
[7]Weaver TE,Grunstein RR.Adherence to continuous positive airway pressure therapy: the challenge to effective treatment.[J] .Proc Am Thorac Soc, 2008, 5(2): 173-178.
[8]Goel AK,Talwar D,Jain SK.Evaluation of short-term use of nocturnal nasal continuous positive airway pressure for a clinical profile and exercise capacity in adult patients with obstructive sleep apnea-hypopnea syndrome.[J] .Lung India, 2015, 32(3): 225-232.
[9]McMillan A,Bratton DJ,Faria R,et al. Continuous positive airway pressure in older people with obstructive sleep apnoea syndrome (PREDICT): a 12-month, multicentre, randomised trial.[J] .Lancet Respir Med, 2014, 2(10): 804-812.
[10]Farrell PC,Richards G.Recognition and treatment of sleep-disordered breathing: an important component of chronic disease management.[J] .J Transl Med, 2017, 15(1): 114.
[11]Yetkin O,Aydogan D.Effect of CPAP on sleep spindles in patients with OSA.[J] .Respir Physiol Neurobiol, 2018, 247: 71-73.
[12]Saunam?ki T,Huupponen E,Loponen J,et al. CPAP Treatment Partly Normalizes Sleep Spindle Features in Obstructive Sleep Apnea.[J] .Sleep Disord, 2017, 2017: 2962479.
[13]Luyster FS,Strollo PJ,Thunstr?m E,et al.Long-term use of continuous positive airway pressure therapy in coronary artery disease patients with nonsleepy obstructive sleep apnea.[J].Clin Cardiol,2017,40(12): 1297-1302.
[14]Ng JH,Yow M.Oral Appliances in the Management of Obstructive Sleep Apnea.[J] .Sleep Med Clin, 2019, 14(1): 109-118.
[15]Hamoda MM,Kohzuka Y,Almeida FR.Oral Appliances for the Management of OSA: An Updated Review of the Literature.[J] .Chest, 2018, 153(2): 544-553.
[16]Jacobowitz O.Advances in Oral Appliances for Obstructive Sleep Apnea.[J] .Adv. Otorhinolaryngol., 2017, 80: 57-65.
[17]黄敏方,周嫣,刘建红,等.戴用口腔矫治器后阻塞性睡眠呼吸暂停患者的睡眠结构变化[J].中国临床新医学,2018,11(11):1082-1085.
[18]Fernández-Julián E,Pérez-Carbonell T,Marco R,et al.Impact of an oral appliance on obstructive sleep apnea severity, quality of life, and biomarkers.[J] .Laryngoscope, 2018, 128(7): 1720-1726.
[19]Silva Gomes Ribeiro CV,Ribeiro-Sobrinho D,Mu?oz Lora VRM,et al. Association between mandibular advancement device therapy and reduction of excessive daytime sleepiness due to obstructive sleep apnoea.[J] .J Oral Rehabil, 2019, 46: 1031-1035.
[20]Chan ASL,Sutherland K,Cistulli PA.Mandibular advancement splints for the treatment of obstructive sleep apnea.[J] .Expert Rev Respir Med, 2019, 11(7): 1-8.
[21]中华耳鼻咽喉头颈外科杂志编辑委员会.阻塞性睡眠呼吸暂停低通气综合征诊断和外科治疗指南[J].中华耳鼻咽喉头颈外科杂志, 2009,44(2):95-96.
[22]Verse T,Dreher A,Heiser C et al. ENT-specific therapy of obstructive sleep apnoea in adults.[J] .Sleep Breath, 2016, 20(4): 1301-1311.
[23] Lin HC,Lee CY,Friedman M,et al. Effects of Minimally Invasive Surgery for Patients With OSA on Quality of Life.[J] .Ann. Otol. Rhinol. Laryngol., 2018, 127(2): 118-123.
[24]Camacho M, Dongcai L, Kawai M, et al. Tonsillectomy for adult obstructive sleep apnea: a systematic review and meta-analysis. Laryngoscope. 2016,126:2176–2186.
[25]Stuck?BA,Ravesloot?MJL,Eschenhagen?T,et al. Uvulopalatopharyngoplasty with or without tonsillectomy in the treatment of adult obstructive sleep apnea - A systematic review.[J] .Sleep Med, 2018, 50: 152-165.
[26]Andersen IG,Holm JC,Hom?e P.Obstructive sleep apnea in obese children and adolescents, treatment methods and outcome of treatment - A systematic review.[J] .Int. J. Pediatr. Otorhinolaryngol,2016,87: 190-197.
[27]Reckley LK,Fernandez-Salvador C,Camacho M,et al.The effect of tonsillectomy on obstructive sleep apnea: an overview of systematic reviews.[J] .Nat Sci Sleep, 2018, 10: 105-110.
[28]Waters KA,Chawla J,Harris MA,et al. Cognition After Early Tonsillectomy for Mild OSA.[J] .Pediatrics, 2020, 145(2): 1-12.
[29]Guilleminault C,Quo S,Huynh NT,et al.Orthodontic expansion treatment and adenotonsillectomy in the treatment of obstructive sleep apnea in prepubertal children.[J] .Sleep, 2008, 31(7): 953-957.
[30]马凌霄.不同体质指数阻塞性睡眠呼吸暂停综合征患者睡眠结构临床特点分析[J].中国现代医学杂志,2011,21(34):4313-4318.
[31]Magne F,Gomez E,Marchal O,et al.Evolution and Predictive Factors of Improvement of Obstructive Sleep Apnea in an Obese Population After Bariatric Surgery.[J] .J Clin Sleep Med,2019,15(10):1509-1516.
[32]de Raaff CAL,Coblijn UK,de Klerk ESM,et al. Impact of obstructive sleep apnea on quality of life after laparoscopic Roux-en-Y gastric bypass.[J]. Surgeon,2018,16 (3):151-155.
[33]Lettieri CJ,Eliasson AH,Greenburg DL.Persistence of obstructive sleep apnea after surgical weight loss.[J] .J Clin Sleep Med, 2008, 4(4): 333-338.
[34]Rojo-Sanchis C,Almerich-Silla JM,Paredes-Gallardo V, et al. Impact of Bimaxillary Advancement Surgery on the Upper Airway and on Obstructive Sleep Apnea Syndrome: a Meta-Analysis.[J].Sci Rep, 2018, 8(1): 5756.
[35]Goodday RH,Bourque SE,Edwards PB.Objective and Subjective Outcomes Following Maxillomandibular Advancement Surgery for Treatment of Patients With Extremely Severe Obstructive Sleep Apnea (Apnea-Hypopnea Index >100).[J].Oral Maxillofac. Surg,2016,73(6): 583-589.
[36]Ishman SL,Benke JR,Cohen AP,et al. Does surgery for obstructive sleep apnea improve depression and sleepiness?[J].Laryngoscope, 2014, 124: (12):2829-2836.
[37]Veys B,Pottel L,Mollemans W,et al. Three-dimensional volumetric changes in the upper airway after maxillomandibular advancement in obstructive sleep apnoea patients and the impact on quality of life.[J] .Int J Oral Maxillofac Surg, 2017, 46(12): 1525-1532.