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一种新型口腔矫治器对成人打鼾的长期益处:趋势分析

Long-term benefits of a new oral appliance on adult snoring: a trend analysis.

作者信息

Chiang Jui-Kun, Lin Yen-Chang, Yu Hsiao-Chen, Lu Chih-Ming, Kao Yee-Hsin

机构信息

Department of Family Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi.

Nature Dental Clinic, Puli Township, Nantou.

出版信息

Multidiscip Respir Med. 2022 Mar 15;17(2):824. doi: 10.4081/mrm.2022.824. eCollection 2022 Jan 12.

DOI:10.4081/mrm.2022.824
PMID:35386299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8977863/
Abstract

BACKGROUND

Snoring constitutes a worldwide public health concern that may be associated with daytime fatigue, endothelial dysfunction, vascular injury, stroke, cardiovascular diseases, and diabetes among female patients. This study explored the effects of the so-called Lin Oral Appliance (LOA) on Taiwanese adults' snoring rates.

METHODS

A time series analysis was conducted to examine the associations between LOAs' tongue compressors of different lengths, and snoring rates were calculated using the SnoreClock app. The LOA comprises 2 components: custom- made dental braces and tongue compressors of adjustable lengths; different versions had different-length compressors.

RESULTS

Our multiple linear regression time-series model revealed the effects of the LOA on snoring rates. The results indicated the following: i) LOA tongue compressor lengths of 1 and 2.5 cm (LOA-1 and LOA-2.5, respectively) were associated with reduced snoring rates; ii) sleep durations of 5.5-7.5 h and daytime sleepiness were associated with increased snoring rates; and iii) among participants with snoring rates above 10%, the snoring rates observed 1-7 days before a given day constituted a significant factor influencing snoring rates on the given day.

CONCLUSIONS

We discovered that the LOA could reduce snoring rates and that the 2.5-cm compressor length in the LOA produced the best results.

摘要

背景

打鼾是一个全球范围内的公共卫生问题,在女性患者中可能与日间疲劳、内皮功能障碍、血管损伤、中风、心血管疾病及糖尿病相关。本研究探讨了所谓的林氏口腔矫治器(LOA)对台湾成年人打鼾率的影响。

方法

进行了一项时间序列分析,以检验不同长度的LOA舌压迫器之间的关联,并使用SnoreClock应用程序计算打鼾率。LOA由两个部分组成:定制的牙托和长度可调节的舌压迫器;不同版本的压迫器长度不同。

结果

我们的多元线性回归时间序列模型揭示了LOA对打鼾率的影响。结果表明:i)长度为1厘米和2.5厘米的LOA舌压迫器(分别为LOA-1和LOA-2.5)与打鼾率降低相关;ii)睡眠时间为5.5 - 7.5小时及日间嗜睡与打鼾率增加相关;iii)在打鼾率高于10%的参与者中,给定日期前1 - 7天观察到的打鼾率是影响该给定日期打鼾率的一个重要因素。

结论

我们发现LOA可降低打鼾率,且LOA中2.5厘米长的压迫器产生的效果最佳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffe/8977863/a4e01bed2324/mrm-17-2-824-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffe/8977863/d44ff26bb199/mrm-17-2-824-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffe/8977863/a4e01bed2324/mrm-17-2-824-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffe/8977863/d44ff26bb199/mrm-17-2-824-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffe/8977863/a4e01bed2324/mrm-17-2-824-g002.jpg

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J Cancer. 2019 May 12;10(9):1968-1974. doi: 10.7150/jca.30172. eCollection 2019.
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Tongue retaining devices for obstructive sleep apnea: A systematic review and meta-analysis.用于阻塞性睡眠呼吸暂停的舌保持装置:一项系统评价和荟萃分析。
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The Frequency and Energy of Snoring Sounds Are Associated with Common Carotid Artery Intima-Media Thickness in Obstructive Sleep Apnea Patients.打鼾声音的频率和能量与阻塞性睡眠呼吸暂停患者的颈总动脉内膜中层厚度相关。
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