口面肌功能治疗对阻塞性睡眠呼吸暂停研究进展

doi:10.6040/j.issn.1673-3770.0.2020.286

摘要/Abstract

摘要： 目的系统回顾口面肌功能治疗(OMT)相关文献,就OMT的动作、机制及对阻塞性睡眠呼吸暂停(OSA)的疗效进行分析。方法使用Pubmed、CNKI、万方医学进行搜索截至2020年6月前的相关文献。结果共回顾24篇研究,包括14篇研究成人OSA,10篇研究儿童OSA,其中有20项研究均显示治疗前后AHI有改善,但改善程度主要取决于OSA严重程度及治疗时间。结论研究证明OMT对治疗单纯打鼾、成人轻至重度OSA、儿童OSA均有效果,可作为治疗OSA的一种重要替代治疗。但OSA的发病机制尚不完全清楚,且相关临床试验和样本数量较少,仍需进一步研究。

关键词: 睡眠呼吸暂停,阻塞性, 口面肌功能治疗, 口咽运动, 成人, 儿童

Abstract: Objective The purpose of this study was to systematically review exercises of orofacial myofunctional therapy(OMT)and the mechanism of OMT to treat obstructive sleep apnea(OSA). Methods Studies extracted from PubMed, China National Knowledge Infrastructure, and Wanfang Medical Online up to June 2020 were included. Results Twenty-four studies involving adults and children were analyzed. Among them, 14 studies were on OSA in adults, while 10 were on OSA in children. Twenty studies measured the Apnea-Hypopnea Index and showed improvement, but the degree of improvement varied with the OSA severity and treatment time. Conclusion This study showed that OMT significantly affected simple snoring and mild to severe OSA in adults and pediatric OSA and could be used as an alternative treatment for OSA. However, the mechanism of OSA is unclear, and further studies are required because of the small number of clinical trials and sample size.

Key words: Sleep apnea, obstructive, Oroficial myofunctional therapy, Oropharyngeal exercises, Adult, Children

中图分类号:

R766.7

李丹阳,梁辉. 口面肌功能治疗对阻塞性睡眠呼吸暂停研究进展[J]. 山东大学耳鼻喉眼学报, 2021, 35(4): 108-114.

LI Danyang,LIANG Hui. Advancements in orofacial myofunctional therapy for obstructive sleep apnea[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 108-114.

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