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阻塞性睡眠呼吸暂停患者经口腔矫治器治疗后工作表现的变化。

Changes in work performances in obstructive sleep apnea patients after dental appliance therapy.

作者信息

Arai H, Furuta H, Kosaka K, Kaneda R, Koshino Y, Sano J, Kumagai S, Yamamoto E

机构信息

Department of Neuropsychiatry, Kanazawa University School of Medicine, Ishikawa, Japan.

出版信息

Psychiatry Clin Neurosci. 1998 Apr;52(2):224-5. doi: 10.1111/j.1440-1819.1998.tb01043.x.

DOI:10.1111/j.1440-1819.1998.tb01043.x
PMID:9628164
Abstract

The effects of dental appliances on work performances of obstructive sleep apnea syndrome (OSAS) is not well examined. This study evaluated the polysomnographic and psychological findings before and after therapy. Nine patients were diagnosed OSAS by nocturnal polysomnography. The psychological batter, was performed from 13:00 to 14:00, which consisted of Uchida-Kraepelin psychodiagnostic test (U-K's test) and Bourdon's cancellation test (Bourdon's test). Approximately 3 months after the treatment, the examinations were performed. Apnea and desaturation index decreased significantly after the therapy. In addition, sleep architecture improved after the therapy compared with that before the therapy. Dysfunction of task performances, such as mean level of work amounts in U-K's test, mean error, mean performance time and mean deviation in Bourdon's test improved after therapy. We conclude that dental appliances therapy is effective not only to apnea but also to work performance in OSAS.

摘要

口腔矫治器对阻塞性睡眠呼吸暂停综合征(OSAS)工作表现的影响尚未得到充分研究。本研究评估了治疗前后的多导睡眠图和心理测试结果。9名患者通过夜间多导睡眠图诊断为OSAS。心理测试于13:00至14:00进行,包括内田-克雷佩林心理诊断测试(U-K测试)和布尔东消去测试(布尔东测试)。治疗约3个月后进行检查。治疗后呼吸暂停和低氧饱和度指数显著降低。此外,与治疗前相比,治疗后睡眠结构得到改善。治疗后,任务表现功能障碍有所改善,如U-K测试中的平均工作量水平、布尔东测试中的平均错误数、平均执行时间和平均偏差。我们得出结论,口腔矫治器治疗不仅对OSAS的呼吸暂停有效,而且对其工作表现也有效。

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Psychiatry Clin Neurosci. 1998 Apr;52(2):224-5. doi: 10.1111/j.1440-1819.1998.tb01043.x.
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引用本文的文献

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Sleep apnea and occupational accidents: Are oral appliances the solution?睡眠呼吸暂停与职业事故:口腔矫治器是解决之道吗?
Indian J Occup Environ Med. 2014 May;18(2):39-47. doi: 10.4103/0019-5278.146887.
2
The economic impact of obstructive sleep apnea.阻塞性睡眠呼吸暂停的经济影响。
Lung. 2008 Jan-Feb;186(1):7-12. doi: 10.1007/s00408-007-9055-5. Epub 2007 Dec 8.