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Patients with Obstructive Sleep Apnea and Cardiovascular Diseases: What, When, and Why Is Mandibular Advancement Device Treatment Required? A Short Review.阻塞性睡眠呼吸暂停与心血管疾病患者:何时、为何需要下颌前移装置治疗?简要综述。
J Clin Med. 2022 Nov 19;11(22):6845. doi: 10.3390/jcm11226845.
2
The influence of a mandibular advancement plate on polysomnography in different grades of obstructive sleep apnea.下颌前移矫治器对不同程度阻塞性睡眠呼吸暂停患者多导睡眠图的影响。
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1
Pilot Study of a New Mandibular Advancement Device.新型下颌前移装置的初步研究
Dent J (Basel). 2022 Jun 6;10(6):99. doi: 10.3390/dj10060099.
2
Continuous Positive Airway Pressure vs Mandibular Advancement Devices in the Treatment of Obstructive Sleep Apnea: An Updated Systematic Review and Meta-Analysis.持续气道正压通气与下颌前移装置治疗阻塞性睡眠呼吸暂停的比较:一项更新的系统评价和荟萃分析
Cureus. 2022 Jan 31;14(1):e21759. doi: 10.7759/cureus.21759. eCollection 2022 Jan.
3
Oral Health for All - Realizing the Promise of Science.全民口腔健康——实现科学的承诺
N Engl J Med. 2022 Mar 3;386(9):809-811. doi: 10.1056/NEJMp2118478. Epub 2022 Feb 26.
4
Comparative evaluation of the efficacy of customized maxillary oral appliance with mandibular advancement appliance as a treatment modality for moderate obstructive sleep apnea patients-protocol for a randomized controlled trial.比较定制式上颌口腔矫治器与下颌前伸矫治器治疗中重度阻塞性睡眠呼吸暂停患者疗效的随机对照试验方案。
Trials. 2022 Feb 16;23(1):159. doi: 10.1186/s13063-022-06070-w.
5
Mandibular advancement device treatment and reverse left ventricular hypertrophic remodeling in patients with obstructive sleep apnea.下颌前伸装置治疗阻塞性睡眠呼吸暂停患者并逆转左心室肥厚重构。
J Clin Sleep Med. 2022 Mar 1;18(3):903-909. doi: 10.5664/jcsm.9766.
6
Clinical predictors of the presence of obstructive sleep apnea in patients with hypertrophic cardiomyopathy.肥厚型心肌病患者阻塞性睡眠呼吸暂停存在的临床预测因素。
Sci Rep. 2021 Jun 29;11(1):13528. doi: 10.1038/s41598-021-93039-5.
7
Obstructive Sleep Apnea and Cardiovascular Disease: A Scientific Statement From the American Heart Association.阻塞性睡眠呼吸暂停与心血管疾病:美国心脏协会科学声明
Circulation. 2021 Jul 20;144(3):e56-e67. doi: 10.1161/CIR.0000000000000988. Epub 2021 Jun 21.
8
CPAP Therapy Termination Rates by OSA Phenotype: A French Nationwide Database Analysis.阻塞性睡眠呼吸暂停表型的持续气道正压通气(CPAP)治疗终止率:一项法国全国性数据库分析
J Clin Med. 2021 Mar 1;10(5):936. doi: 10.3390/jcm10050936.
9
Health outcomes of continuous positive airway pressure versus mandibular advancement device for the treatment of severe obstructive sleep apnea: an individual participant data meta-analysis.经鼻持续气道正压通气与下颌前伸装置治疗重度阻塞性睡眠呼吸暂停的健康结局:一项个体参与者数据荟萃分析。
Sleep. 2021 Jul 9;44(7). doi: 10.1093/sleep/zsab015.
10
A singular oral appliance to treat obstructive sleep apnea in CPAP non-adherent patients.一种用于治疗持续气道正压通气(CPAP)依从性差的患者阻塞性睡眠呼吸暂停的单一口腔矫治器。
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阻塞性睡眠呼吸暂停与心血管疾病患者:何时、为何需要下颌前移装置治疗?简要综述。

Patients with Obstructive Sleep Apnea and Cardiovascular Diseases: What, When, and Why Is Mandibular Advancement Device Treatment Required? A Short Review.

作者信息

François Cindy, Bonafé Arthur, Roubille Camille, Roubille François, Dupuy-Bonafé Isabelle, Millot Sarah

机构信息

Département Fonction-Dysfonction, Imagerie et Biomatériaux, Centre de Soins d'Enseignement et de Recherche Dentaires, 34080 Montpellier, France.

PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier, 34295 Montpellier, France.

出版信息

J Clin Med. 2022 Nov 19;11(22):6845. doi: 10.3390/jcm11226845.

DOI:10.3390/jcm11226845
PMID:36431322
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9696671/
Abstract

Obstructive sleep apnea is a potentially dangerous condition with significant risks of comorbidities if left untreated. It represents a cardiovascular risk factor in the general population, and a higher prevalence is observed in patients already suffering from cardiovascular diseases. The gold standard treatment, continuous positive airway pressure, is not always accepted or tolerated. The mandibular advancement device represents an alternative treatment that we propose to implement in our study. The objective here is to first present a brief review of the topic. Due to poor evidence in the field, we propose a pilot study to evaluate the effect of a mandibular advancement device in patients with cardiovascular disease who are not treated for their sleep pathology in order to improve their therapeutic management.

摘要

阻塞性睡眠呼吸暂停是一种潜在危险的病症,如果不进行治疗,会有显著的合并症风险。它是普通人群中的一种心血管危险因素,在已经患有心血管疾病的患者中患病率更高。金标准治疗方法,即持续气道正压通气,并非总是能被接受或耐受。下颌前移装置是一种替代治疗方法,我们建议在我们的研究中采用。这里的目的是首先对该主题进行简要综述。由于该领域证据不足,我们建议开展一项试点研究,以评估下颌前移装置对未治疗睡眠疾病的心血管疾病患者的效果,从而改善他们的治疗管理。