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1型强直性肌营养不良患者使用口腔矫治器治疗阻塞性睡眠呼吸暂停:一例报告

Obstructive Sleep Apnea Treatment with Oral Appliance in a Myotonic Dystrophy Type I Subject: A Case Report.

作者信息

Guimarães Maria de Lourdes Rabelo, Ribeiro Milena Carvalho Tourino, Barbosa Thiago Antunes da Silva, Costa Laila Gabriela de Figueiredo, Bastos Patricia Souza

机构信息

Universidade Federal de Minas Gerais, Centro de Tecnologia em Medicina Molecular, Belo Horizonte, Minas Gerais, Brazil.

Centro Universitário de Belo Horizonte, Faculty of Dentistry, Belo Horizonte, Minas Gerais, Brazil.

出版信息

Sleep Sci. 2023 Sep 11;16(3):e375-e380. doi: 10.1055/s-0043-1772817. eCollection 2023 Sep.

DOI:10.1055/s-0043-1772817
PMID:38196758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10773523/
Abstract

to report a myotonic dystrophy type 1 (MD1) subject with obstructive sleep apnea syndrome treated with oral appliance.  A review of individual's history and records, associated with a photographic register of all diagnostic methods and literature research about the topic were done.  This case depicts the therapeutical choices disposable to treat subjects with obstructive sleep apnea and DM1. Although considered an uncommon treatment, the oral appliances, if well indicated in adequately selected cases, can satisfactorily improve respiratory parameters, symptoms and quality of life.

摘要

报告一例1型强直性肌营养不良(MD1)合并阻塞性睡眠呼吸暂停综合征患者接受口腔矫治器治疗的情况。对患者的病史和记录进行了回顾,并对所有诊断方法进行了摄影记录以及对该主题进行了文献研究。本病例描述了用于治疗阻塞性睡眠呼吸暂停和MD1患者的治疗选择。尽管口腔矫治器被认为是一种不常见的治疗方法,但在适当选择的病例中,如果使用得当,它可以令人满意地改善呼吸参数、症状和生活质量。

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本文引用的文献

1
Clinical guide for the diagnosis and follow-up of myotonic dystrophy type 1, MD1 or Steinert's disease.1 型肌强直性营养不良、MD1 或 Steinert 病的诊断和随访临床指南。
Med Clin (Barc). 2019 Jul 19;153(2):82.e1-82.e17. doi: 10.1016/j.medcli.2018.10.028. Epub 2019 Jan 24.
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Consensus-based care recommendations for adults with myotonic dystrophy type 1.1型强直性肌营养不良症成人患者基于共识的护理建议。
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Mandibular advancement device therapy for obstructive sleep apnea: a prospective study on predictors of treatment success.下颌前伸装置治疗阻塞性睡眠呼吸暂停:治疗成功预测因素的前瞻性研究。
Sleep Med. 2019 Feb;54:187-194. doi: 10.1016/j.sleep.2018.09.033. Epub 2018 Nov 12.
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Core Clinical Phenotypes in Myotonic Dystrophies.强直性肌营养不良的核心临床表型
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Clinical Use of a Home Sleep Apnea Test: An American Academy of Sleep Medicine Position Statement.家用睡眠呼吸暂停试验的临床应用:美国睡眠医学学会立场声明。
J Clin Sleep Med. 2017 Oct 15;13(10):1205-1207. doi: 10.5664/jcsm.6774.
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Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015.口腔矫治器治疗阻塞性睡眠呼吸暂停和打鼾的临床实践指南:2015年更新版
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7
Lack of correlation between the ventilatory response to CO2 and lung function impairment in myotonic dystrophy patients: evidence for a dysregulation at central level.强直性肌营养不良患者对二氧化碳的通气反应与肺功能损害之间缺乏相关性:中枢水平失调的证据。
Neuromuscul Disord. 2015 May;25(5):403-8. doi: 10.1016/j.nmd.2015.02.006. Epub 2015 Feb 17.
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Sleep disorders in neuromuscular diseases.神经肌肉疾病中的睡眠障碍。
Neurol Clin. 2012 Nov;30(4):1359-87. doi: 10.1016/j.ncl.2012.08.010.
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The myotonic dystrophies: molecular, clinical, and therapeutic challenges.肌强直性营养不良症:分子、临床和治疗挑战。
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