Benoist L B L, Beelen A M E H, Torensma B, de Vries N
Department of Otorhinolaryngology Head and Neck surgery, OLVG West, Jan Tooropstraat 164, 1061 AE, Amsterdam, The Netherlands.
Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.
Eur Arch Otorhinolaryngol. 2018 Aug;275(8):2169-2176. doi: 10.1007/s00405-018-5036-y. Epub 2018 Jun 12.
To evaluate the effect of a new-generation positional device, the sleep position trainer (SPT), in non-apneic position-dependent snorers.
Non-apneic position-dependent snorers with an apnea-hypopnea index (AHI) < 5 events/h were included between February 2015 and September 2016. After inclusion, study subjects used the SPT at home for 6 weeks. The Snore Outcome Survey (SOS) was filled out by the subjects at baseline and after 6 weeks, and at the same time, the Spouse/Bed Partner Survey (SBPS) was filled out by their bed partners.
A total of 36 participants were included and 30 completed the study. SOS score improved significantly after 6 weeks from 35.0 ± 13.5 to 55.3 ± 18.6, p < 0.001. SBPS score also improved significantly after 6 weeks from 24.7 ± 16.0 versus 54.5 ± 25.2, p < 0.001. The severity of snoring assessed with a numeric visual analogue scale (VAS) by the bed partner decreased significantly from a median of 8.0 with an interquartile range (IQR) of [7.0-8.5] to 7.0 [3.8-8.0] after 6 weeks (p = 0.004).
Results of this study indicate that positional therapy with the SPT improved several snoring-related outcome measures in non-apneic position-dependent snorers. The results of this non-controlled study demonstrate that this SPT could be considered as an alternative therapeutic option to improve sleep-related health status of snorers and their bed partners.
评估新一代定位设备——睡眠姿势训练器（SPT）对非呼吸暂停型体位性打鼾者的疗效。
纳入2015年2月至2016年9月期间呼吸暂停低通气指数（AHI）<5次/小时的非呼吸暂停型体位性打鼾者。纳入后，研究对象在家中使用SPT 6周。研究对象在基线时和6周后填写打鼾结果调查问卷（SOS），同时，他们的同床伴侣填写配偶/同床伴侣调查问卷（SBPS）。
共纳入36名参与者，30名完成了研究。6周后，SOS评分从35.0±13.5显著提高至55.3±18.6，p<0.001。6周后，SBPS评分也显著提高，从24.7±16.0提高至54.5±25.2，p<0.001。同床伴侣用数字视觉模拟量表（VAS）评估的打鼾严重程度在6周后从中位数8.0（四分位间距[IQR]为[7.0-8.5]）显著降至7.0[3.8-8.0]（p=0.004）。
本研究结果表明，使用SPT进行体位治疗可改善非呼吸暂停型体位性打鼾者的多项与打鼾相关的结局指标。这项非对照研究的结果表明，这种SPT可被视为改善打鼾者及其同床伴侣睡眠相关健康状况的一种替代治疗选择。
