書誌事項
- タイトル別名
-
- Effect of oral appliances on quality of sleep in obstructive sleep apnea syndrome
- ヘイソクセイ スイミンジ ムコキュウ ショウコウグン ニ タイスル コウコウ ナイ ソウチ ガ スイミン ノ シツ エ オヨボス エイキョウ
この論文をさがす
抄録
Purpose: Obstructive sleep apnea syndrome (OSAS) is a disease that can affect life prognosis, against a background of respiratory disorder during sleep and decreased quality of sleep. The first-choice treatment for OSAS is continuous positive airway pressure (CPAP), but dislodgment of the CPAP device has been described in a number of cases. Oral appliances (OA) work well in mild to moderate OSAS, even in cases where CPAP devices are displaced. Respiratory impairment has been evaluated in many institutions to assess therapeutic effectiveness. The present study evaluated and compared the quality of sleep before and after use of OA. We focused on changes in the quality of sleep. <br>Methods: The study group comprised 73 patients who underwent OA treatment at Tokyo Dental College Ichikawa General Hospital between July 2003 and December 2008. The patients were divided into an improvement group and non-improvement group and studied. The improvement group comprised 42 patients in whom the apnea hypopnea index on overnight polysomnography improved to >50% or ≦5/h. The other 31 patients were in the non-improvement group. Sleep parameters (i.e., sleep stage, sleep latency, rapid eye movement［REM］ sleep latency, sleep efficiency, and total arousal index) before and after treatment were compared, and the effect of OA on the quality of sleep was investigated, adjusting for disease severity. <br>Results: In patients with moderate and severe OSAS in the improvement group, the proportion of Stage REM significantly increased and the proportion of Stage Ⅰ as well as the total arousal index significantly decreased. In addition, the proportion of Stage II in patients with moderate OSAS in the improvement group decreased significantly. <br>Discussion: The use of OA improved breathing disorders such as apnea and hypopnea in patients with moderate and severe OSAS and reduced the total arousal index, resulting in normalization of the sleep stage cycle. The present study demonstrates that treatment of OSAS requires not only improvements in respiratory disorders, but also adequate consideration of sleep quality.
収録刊行物
-
- 日本口腔外科学会雑誌
-
日本口腔外科学会雑誌 59 (5), 294-300, 2013
社団法人 日本口腔外科学会
- Tweet
キーワード
詳細情報 詳細情報について
-
- CRID
- 1390001206530670208
-
- NII論文ID
- 130004714384
- 40019694504
-
- NII書誌ID
- AN00189163
-
- ISSN
- 21861579
- 00215163
-
- NDL書誌ID
- 024677705
-
- 本文言語コード
- ja
-
- データソース種別
-
- JaLC
- NDL
- Crossref
- CiNii Articles
-
- 抄録ライセンスフラグ
- 使用不可