[佩戴假牙对无牙颌人群睡眠呼吸的影响：一项初步研究]
[Effects of wearing dentures on sleep breathing among edentulous people: a preliminary study].
作者信息
Zou Dong, Dong Xiao-song, Han Fang, Pan Shao-xia, Feng Hai-lan
机构信息
Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing 100081, China.
Department of Respiratory Medicine, People's Hospital, Peking University, Beijing 100044, China.
出版信息
Beijing Da Xue Xue Bao Yi Xue Ban. 2014 Apr 18;46(2):299-301.
OBJECTIVE
To investigate the effects of wearing dentures on sleep breathing among edentulous people.
METHODS
Nine edentulous people were recruited to participate in this selfcontrolled case series clinical study. Polysomnogram (PSG) was carried out on two consecutive nights, on one night the patients slept wearing dentures, and on the other without dentures. The indexes such as apnea and hypopnea index (AHI), L-SpO2, and morning blood pressure etc. were compared.
RESULTS
Among the nine edentulous people, eight showed a higher AHI when they slept with dentures, and only one showed a lower AHI. The average AHI of the nine edentulous people was 8.82 without dentures and 11.72 with dentures, which meant that AHI was significantly higher when the edentulous people slept with dentures in their mouths (P<0.05). While no significant differences were found in the score of L-SpO2 and morning blood pressures (P>0.05).
CONCLUSION
Wearing dentures might lead to an increase of AHI during sleep among edentulous people.
目的
探讨佩戴假牙对无牙颌患者睡眠呼吸的影响。
方法
招募9名无牙颌患者参与这项自身对照病例系列临床研究。连续两晚进行多导睡眠图（PSG）监测，一晚患者佩戴假牙睡眠，另一晚不佩戴假牙睡眠。比较呼吸暂停低通气指数（AHI）、最低血氧饱和度（L-SpO2）及晨起血压等指标。
结果
9名无牙颌患者中，8名患者佩戴假牙睡眠时AHI升高，仅1名患者AHI降低。9名无牙颌患者不佩戴假牙时平均AHI为8.82，佩戴假牙时为11.72，这意味着无牙颌患者佩戴假牙睡眠时AHI显著升高（P<0.05）。而L-SpO2评分及晨起血压差异无统计学意义（P>0.05）。
结论
佩戴假牙可能导致无牙颌患者睡眠期间AHI升高。
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