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磨牙症与阻塞性睡眠呼吸暂停之间的关系:一项基于人群的调查。

Relationship between sleep bruxism and obstructive sleep apnoea: A population-based survey.

作者信息

Pollis M, Lobbezoo F, Colonna A, Manfredini D

机构信息

Department of Medical Biotechnology, School of Dentistry, University of Siena, Siena, Italy.

Department of Orofacial Pain and Dysfunction, Academic Centre of Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

出版信息

Aust Dent J. 2024 Jun;69 Suppl 1(Suppl 1):S101-S107. doi: 10.1111/adj.13036. Epub 2024 Sep 3.

Abstract

OBJECTIVE

Sleep bruxism (SB) and obstructive sleep apnoea (OSA) seem to be mutually associated. This study investigates the relationship between current SB and OSA-related symptoms and the difference in OSA-related symptoms between groups based on a history of SB.

METHODS

An online survey was drafted to report the presence of SB and OSA in sample of 243 individuals (M = 129;F = 114;mean(SD)age = 42.4 ± 14.4 years). The Subject-Based Assessment strategy recommended in the 'Standardized Tool for the Assessment of Bruxism' (STAB) was adopted to assess SB. To evaluate OSA-related symptoms, Epworth Sleepiness Scale (ESS) and STOP-BANG questionnaires were adopted. Correlations between current SB and OSA-related symptoms were evaluated by Spearman test. ESS and STOP-BANG scores were compared by Mann-Whitney U test in individuals with and a without positive SB history.

RESULTS

Current SB and SB history were reported by 45.7% and 39.1% of the sample, respectively. 73.7%, 21% and 5.3% of the responders showed a low, intermediate and high risk of OSA, respectively. Neither significant correlations between current SB and OSA nor significant differences between SB groups emerged.

CONCLUSIONS

This study did neither find any significant correlation between self-report of current SB and OSA nor significant differences in ESS and STOP-BANG scores between groups based on SB history.

摘要

目的

睡眠磨牙症(SB)与阻塞性睡眠呼吸暂停(OSA)似乎相互关联。本研究调查了当前SB与OSA相关症状之间的关系,以及基于SB病史的不同组之间OSA相关症状的差异。

方法

起草了一项在线调查,以报告243名个体(男性=129名;女性=114名;平均(标准差)年龄=42.4±14.4岁)样本中SB和OSA的存在情况。采用《磨牙症评估标准化工具》(STAB)中推荐的基于受试者的评估策略来评估SB。为评估OSA相关症状,采用了爱泼华嗜睡量表(ESS)和STOP-BANG问卷。通过Spearman检验评估当前SB与OSA相关症状之间的相关性,并采用Mann-Whitney U检验比较有和无SB阳性病史个体的ESS和STOP-BANG评分。

结果

样本中分别有45.7%和39.1%的人报告了当前存在SB和有SB病史。分别有73.7%、21%和5.3%的应答者显示出低、中、高OSA风险。当前SB与OSA之间既无显著相关性,SB组之间也无显著差异。

结论

本研究既未发现当前SB的自我报告与OSA之间存在任何显著相关性,也未发现基于SB病史的不同组之间在ESS和STOP-BANG评分上存在显著差异。

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本文引用的文献

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The evolution of a field: A challenge and an opportunity.一个领域的演变:一项挑战与一次机遇。
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Standardised Tool for the Assessment of Bruxism.磨牙症评估的标准化工具。
J Oral Rehabil. 2024 Jan;51(1):29-58. doi: 10.1111/joor.13411. Epub 2023 Feb 10.

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