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患者对下颌前移装置治疗阻塞性睡眠呼吸暂停和打鼾的改善情况及副作用重要性的认知。

Patients' perceptions of the importance of improvements and side effects from mandibular advancement device therapy for obstructive sleep apnea and snoring.

作者信息

Mezzofranco Luca, Zalunardo Francesca, Savin Sorina, Agostini Ludovica, Gracco Antonio Luigi Tiberio

机构信息

Neurosciences, Università degli Studi di Padova, Padua, Italy.

出版信息

Cranio. 2025 Sep;43(5):743-749. doi: 10.1080/08869634.2024.2325405. Epub 2024 Mar 10.

DOI:10.1080/08869634.2024.2325405
PMID:38461515
Abstract

OBJECTIVE

To assess which improvements and side effects are considered most important by patients with OSA treated with a MAD.

METHODS

A specific questionnaire consisting of 20 questions, including 10 questions on improvements and 10 on side effects, was developed and mailed to all subjects (54).

RESULTS

42 patients, participated in the survey by answering the questionnaire. The results showed that patients placed greater importance on the positive outcomes of treatment, with the most significant being the reduction in snoring and improvement in sleep quality. On the other hand, the side effects of difficulty speaking with the device, tooth mobility, and foreign body sensation were considered important.

CONCLUSIONS

The advantages perceived by the patients appear to outweigh the disadvantages, especially the reduction of snoring, increased productivity, and improved social and intellectual life. Most significant side effects are reversible and short-term, while occlusal changes, is not considered important by patients.

摘要

目的

评估接受下颌前移装置(MAD)治疗的阻塞性睡眠呼吸暂停(OSA)患者认为哪些改善和副作用最为重要。

方法

设计了一份包含20个问题的特定问卷,其中10个关于改善情况,10个关于副作用,并邮寄给所有受试者(54名)。

结果

42名患者通过回答问卷参与了调查。结果显示,患者更重视治疗的积极结果,其中最重要的是打鼾减少和睡眠质量改善。另一方面,使用该装置说话困难、牙齿松动和异物感等副作用也被认为较为重要。

结论

患者所感知到的优点似乎超过了缺点,尤其是打鼾减少、生产力提高以及社交和智力生活改善。最显著的副作用是可逆且短期的,而咬合变化患者认为并不重要。

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