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单纯打鼾与睡眠磨牙症之间的关系:一项多导睡眠图研究。

The Relationship between Simple Snoring and Sleep Bruxism: A Polysomnographic Study.

作者信息

Michalek-Zrabkowska Monika, Wieckiewicz Mieszko, Macek Piotr, Gac Pawel, Smardz Joanna, Wojakowska Anna, Poreba Rafal, Mazur Grzegorz, Martynowicz Helena

机构信息

Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, Poland.

Department of Experimental Dentistry, Wroclaw Medical University, 26 Krakowska St., 50-425 Wroclaw, Poland.

出版信息

Int J Environ Res Public Health. 2020 Dec 2;17(23):8960. doi: 10.3390/ijerph17238960.

DOI:10.3390/ijerph17238960
PMID:33276496
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7731201/
Abstract

Simple snoring is defined as the production of sound in the upper aerodigestive tract during sleep, not accompanied by other pathologies. Sleep bruxism (SB) refers to repetitive phasic, tonic, or mixed masticatory muscle activity during sleep. In this study, we investigated the relationship between simple snoring and SB in patients without obstructive sleep apnea (OSA). A total of 565 snoring subjects underwent polysomnography. After examination, individuals with OSA were excluded from the study group. Finally, 129 individuals were analyzed. The bruxism episode index was positively correlated with maximum snore intensity. Phasic bruxism was positively correlated with snore intensity in all sleep positions. Bruxers had a significantly decreased average and minimum heart rate compared with non-bruxers. Supine sleep position seemed to have a significant impact on snore intensity and SB. In summary, our study showed the relationship between SB, snore intensity, and body position. Phasic bruxism was positively correlated with snore intensity despite the body position, which is an interesting and novel finding.

摘要

单纯打鼾被定义为睡眠期间上气道消化道发出的声音,不伴有其他病理状况。睡眠磨牙症(SB)是指睡眠期间重复性的阶段性、强直性或混合性咀嚼肌活动。在本研究中,我们调查了无阻塞性睡眠呼吸暂停(OSA)患者中单纯打鼾与SB之间的关系。共有565名打鼾受试者接受了多导睡眠图检查。检查后,患有OSA的个体被排除在研究组之外。最终,对129名个体进行了分析。磨牙症发作指数与最大打鼾强度呈正相关。在所有睡眠姿势下,阶段性磨牙症与打鼾强度呈正相关。与非磨牙者相比,磨牙者的平均心率和最低心率显著降低。仰卧睡眠姿势似乎对打鼾强度和SB有显著影响。总之,我们的研究显示了SB、打鼾强度和体位之间的关系。尽管体位不同,阶段性磨牙症与打鼾强度仍呈正相关,这是一个有趣且新颖的发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cba8/7731201/5b6e7c03cf10/ijerph-17-08960-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cba8/7731201/a3db0b819cb0/ijerph-17-08960-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cba8/7731201/5b6e7c03cf10/ijerph-17-08960-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cba8/7731201/a3db0b819cb0/ijerph-17-08960-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cba8/7731201/5b6e7c03cf10/ijerph-17-08960-g002a.jpg

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Genetic basis of sleep bruxism and sleep apnea-response to a medical puzzle.睡眠磨牙症和睡眠呼吸暂停的遗传学基础——对一个医学谜题的反应。
Sci Rep. 2020 May 4;10(1):7497. doi: 10.1038/s41598-020-64615-y.
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How much is too much after all? Primary snoring as a remaining unsolved issue.毕竟打鼾多少算多?原发性打鼾作为一个尚未解决的问题。
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The meaning of the masticatory muscle tonic-type electromyographic pathway correlated with sleep bruxism and sleep-related breathing disorders - A polysomnographic study.
共存的睡眠呼吸暂停和睡眠磨牙症中觉醒阈值对睡眠磨牙症强度的影响:一项多导睡眠图研究
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Non-Instrumental and Instrumental Tools Validity in Bruxism Diagnostics.磨牙症诊断中非仪器和仪器工具的有效性
Diagnostics (Basel). 2025 Jan 16;15(2):200. doi: 10.3390/diagnostics15020200.
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Understanding the clinical management of co-occurring sleep-related bruxism and obstructive sleep apnea in adults: A narrative and critical review.了解成人共病性睡眠相关磨牙症和阻塞性睡眠呼吸暂停的临床管理:一项叙述性和批判性综述。
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