Kazubowska-Machnowska Klaudia, Jodkowska Anna, Michalek-Zrabkowska Monika, Wieckiewicz Mieszko, Poreba Rafal, Dominiak Marzena, Gac Pawel, Mazur Grzegorz, Kanclerska Justyna, Martynowicz Helena
Department of Oral Surgery, Wroclaw Medical University, 26 Krakowska St., 50-425 Wroclaw, Poland.
Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, Poland.
Brain Sci. 2022 Jun 25;12(7):828. doi: 10.3390/brainsci12070828.
Obstructive sleep apnea (OSA) and sleep bruxism (SB) may appear concomitantly. Data on the relationship between OSA and SB are limited. It was shown that in a population with an increased risk of OSA, OSA was dependently correlated with SB on the degree of OSA severity only in mild and moderate cases of OSA. We aimed to confirm this relationship and affecting factors in a group of dental office patients in a prospective, observational study. Adult patients (n = 119) were evaluated using respiratory polygraphy. The risk of OSA was assessed using a STOP-Bang questionnaire (SBQ). The episodes of bruxism and respiratory events were scored according to the standards of the American Academy of Sleep Medicine. The prevalence of OSA and SB was found to be 63.02% and 41.17%, respectively. The bruxism episode index (BEI) was increased in the group with a higher risk of OSA (SBQ ≥ 3) compared to the group with a lower risk of OSA (3.49 ± 3.63 vs. 2.27 ± 2.50, p = 0.03). The sensitivity and specificity of the SBQ were not sufficient to predict SB. A positive linear correlation between AHI and BEI in the group with AHI < 23/h was found. The study confirmed that OSA was associated with SB in the group of patients with OSA and/or SB risk. The relationship between OSA and SB depended on the degree of severity of OSA and occurred in mild and moderate cases of OSA.
阻塞性睡眠呼吸暂停（OSA）和睡眠磨牙症（SB）可能同时出现。关于OSA与SB之间关系的数据有限。研究表明，在OSA风险增加的人群中，仅在轻度和中度OSA病例中，OSA与SB在OSA严重程度上呈依赖相关性。我们旨在通过一项前瞻性观察性研究，在一组牙科诊所患者中证实这种关系及影响因素。使用呼吸多导仪对成年患者（n = 119）进行评估。使用STOP - Bang问卷（SBQ）评估OSA风险。根据美国睡眠医学会的标准对磨牙症发作和呼吸事件进行评分。发现OSA和SB的患病率分别为63.02%和41.17%。与OSA风险较低的组相比，OSA风险较高的组（SBQ≥3）的磨牙症发作指数（BEI）升高（3.49±3.63对2.27±2.50，p = 0.03）。SBQ的敏感性和特异性不足以预测SB。在AHI < 23/h的组中发现AHI与BEI呈正线性相关。该研究证实，在有OSA和/或SB风险的患者组中，OSA与SB相关。OSA与SB之间的关系取决于OSA的严重程度，且发生在轻度和中度OSA病例中。
