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目的评估两种口腔矫治器治疗阻塞型睡眠呼吸暂停低通气综合征(OSAHS)的疗效。方法20例OS-AHS患者,随机分为两组,A组使用胶联式矫治器,B组使用压膜式矫治器。根据治疗前后多导睡眠图(PSG)监测指标和患者主观症状的改变,比较两种矫治器的疗效。结果胶联式矫治器有效率77.78%,压膜式矫治器有效率81.82%,两者疗效差异无统计学意义(P>0.05),但患者依从性存在差别。结论应结合患者的主观要求及其口腔内具体情况合理选择有效的矫治器,以获得满意的疗效。
Objective To evaluate the efficacy of two kinds of oral appliance in the treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods Twenty patients with OS-AHS were randomly divided into two groups. Group A was treated with glue-type appliance and group B with lamination appliance. The curative effect of the two kinds of appliance was compared according to the monitoring index of polysomnography (PSG) before and after treatment and the subjective symptom of the patients. Results The results showed that the effective rate was 77.78% and the effective rate was 81.82%. The difference between the two groups was not statistically significant (P> 0.05). However, there was a difference in patient compliance. Conclusion Patients should be combined with the subjective requirements and the specific circumstances of the mouth to choose an effective appliance, in order to obtain satisfactory results.