Nordin E, Stenberg M, Tegelberg Å
Faculty of Odontology, Malmö university, Malmö, Sweden.
Centre of Clinical Research, Uppsala university, Västerås, Sweden.
J Oral Rehabil. 2016 Jun;43(6):435-42. doi: 10.1111/joor.12385. Epub 2016 Mar 9.
Over the past few decades, there has been a pronounced increase in the number of patients being treated by general dental practitioners for obstructive sleep apnoea (OSA). The purpose of this study was to survey the care and patient experiences and the self-reported effectiveness of OSA treatment with an oral appliance (OA) incorporating mandibular advancement. The design was a retrospective, cross-sectional study, with follow-up between 6 months to 1 year after commencement of treatment. A survey form was posted to 1150 subjects, identified in the regional register over a 1-year period as having been treated with an OA for OSA. The questionnaire comprised 70 questions and assertions in various domains, such as general health/lifestyle, changes in symptoms/quality of life and sleep-related experiences, daytime sleepiness, changes in life situation, evaluation of treatment and the value of treatment. The overall response rate was 64% (n = 738). Treatment with OA gave relief of symptoms in 83% of the respondents. Quality of life, somatic and cognitive symptoms improved significantly in patients who used the appliance frequently (P < 0·001). Daytime sleepiness decreased significantly (P < 0·001). Treatment satisfaction and willingness to recommend the similar treatment to a friend were high (>85%). OA treatment of OSA by general dental practitioners is a safe procedure. Most of the survey respondents experienced relief of symptoms. Those who used their appliance frequently reported improvement in quality of life, somatic and cognitive symptoms. Excessive daytime sleepiness was reduced in the majority of the patients under treatment.
在过去几十年中，由普通牙科医生治疗阻塞性睡眠呼吸暂停（OSA）的患者数量显著增加。本研究的目的是调查使用下颌前移口腔矫治器（OA）治疗OSA的护理情况、患者体验以及自我报告的治疗效果。研究设计为回顾性横断面研究，在治疗开始后6个月至1年进行随访。向1150名受试者发放了调查问卷，这些受试者在地区登记册中被确定为在1年期间接受过OA治疗OSA。问卷包括70个关于各个领域的问题和断言，如总体健康/生活方式、症状/生活质量变化以及与睡眠相关的经历、日间嗜睡、生活状况变化、治疗评估和治疗价值。总体回复率为64%（n = 738）。83%的受访者使用OA治疗后症状得到缓解。经常使用该矫治器的患者生活质量、躯体和认知症状有显著改善（P < 0·001）。日间嗜睡显著减少（P < 0·001）。治疗满意度和向朋友推荐类似治疗的意愿很高（>85%）。普通牙科医生使用OA治疗OSA是一种安全的方法。大多数调查受访者症状得到缓解。经常使用矫治器的患者报告生活质量、躯体和认知症状有所改善。大多数接受治疗的患者日间过度嗜睡情况有所减轻。
