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下颌前移装置对患有阻塞性睡眠呼吸暂停综合征的公共交通司机日间嗜睡、生活质量及多导睡眠图特征的影响。

Effects of the mandibular advancement device on daytime sleepiness, quality of life and polysomnographic proﬁle of public transport drivers with obstructive sleep apnea syndrome.

作者信息

Rocha Antonio Luiz, Wagner Litiele Evelin, Paiva Dulciane Nunes

机构信息

Universidade de Santa Cruz do Sul (UNISC) - Programa de Pós-Graduação Mestrado e Doutorado em Promoção da Saúde (PPGPS). Santa Cruz do Sul, Rio Grande do Sul - Brazil.

Universidade de Santa Cruz do Sul (UNISC) - Programa de Residência Multiprofissional em Saúde do Hospital Santa Cruz (HSC). Santa Cruz do Sul, Rio Grande do Sul - Brazil.

出版信息

Sleep Sci. 2021 Apr-Jun;14(2):136-141. doi: 10.5935/1984-0063.20200058.

DOI:10.5935/1984-0063.20200058

PMID:34381577

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8340896/

Abstract

OBJECTIVE

To evaluate the effects of the mandibular advancement device (MAD) on daytime sleepiness, quality of life (QoL) and polysomnographic profile of intercity transport drivers with obstructive sleep apnea syndrome (OSAS).

MATERIAL AND METHODS

A quasi-experimental study evaluating intercity transport drivers from March to September 2019. The apnea-hypopnea index (AHI) was evaluated by type III polysomnography, which defined the severity of the disease. OSAS: mild (5 to 15), moderate (15 to 29), or severe (= 30). Sleepiness was assessed using the Epworth sleepiness scale, consisting of 8 questions about the likelihood of drowsiness in daily situations. QoL was assessed using the SF-36 questionnaire, which provides the score in eight domains: functional capacity, physical aspects, pain, general health status, vitality, social aspects, emotional aspects, and mental health. Drivers with OSAS underwent intervention with application of personalized MAD for 8 to 12 weeks.

RESULTS

The total sample (n=23) (44.77±11.56 years) had a body mass index (BMI) of 30.64±4.66kg/m2, and an OSAS prevalence of 65.2% of drivers (n=15). There were losses of 4 drivers so that the ﬁnal sample of drivers with OSAS for the intervention with the MAD was 11 individuals, with an average age of 45.54±9.41 years and BMI of 32.21±3.17kg/m². There was a decrease in AHI (28.51±15.66ev/h 012.11±6.70ev/h, p=0.002) and pain (60 (50-60)040 (40-50), p=0.015) after the intervention.

CONCLUSION

There was a reduction in AHI in intercity transport drivers after implementing the MAD procedure.

摘要

目的

评估下颌前移装置（MAD）对患有阻塞性睡眠呼吸暂停综合征（OSAS）的城际运输司机白天嗜睡情况、生活质量（QoL）及多导睡眠图特征的影响。

材料与方法

一项准实验研究，于2019年3月至9月对城际运输司机进行评估。通过III型多导睡眠图评估呼吸暂停低通气指数（AHI），以确定疾病的严重程度。OSAS分为：轻度（5至15）、中度（15至29）或重度（=30）。使用Epworth嗜睡量表评估嗜睡情况，该量表由8个关于日常情况下困倦可能性的问题组成。使用SF-36问卷评估生活质量，该问卷在八个领域给出评分：功能能力、身体方面、疼痛、总体健康状况、活力、社会方面、情感方面和心理健康。患有OSAS的司机接受个性化MAD治疗8至12周。

结果

总样本（n=23）（44.77±11.56岁）的体重指数（BMI）为30.64±4.66kg/m²，OSAS患病率为65.2%的司机（n=15）。有4名司机退出，因此接受MAD干预的最终OSAS司机样本为11人，平均年龄为45.54±9.41岁，BMI为32.21±3.17kg/m²。干预后AHI（28.51±15.66次/小时降至12.11±6.70次/小时，p=0.002）和疼痛（60（50 - 60）降至40（40 - 50），p=0.015）有所下降。