美國2007年4月；口腔矯治器能減少上腭振顫和舌根鼾症？
Copyright © 2007 American Academy of Otolaryngology–Head and Neck Surgery Foundation Published by Mosby, Inc.
Does an oral appliance reduce palatal flutter and tongue base snoring?
Stephanie Stouder DDSa, Loren Jones MD, Scott Brietzke MD, MCa and Eric A. Mair MD, FAAPa aWilford Hall Medical Center.
30 April 2007 2007年4月30日
Objectives 目的
Oral appliances are designed to treat snoring and sleep apnea by advancing the mandible and tongue. We test the hypothesis that an oral appliance affects palatal snoring as well as tongue base obstruction.
Methods方法
Prospective observational cohort study. Sixty patients with a chief complaint of snoring with or without apnea were enrolled. Each patient underwent a home sleep test followed by 3 weeks sleeping with an oral appliance. Each patient then underwent a repeat home sleep test while using the device.
Results結果
There was a statistically significant improvement in the snores per hour (P = 0.0005), the maximum snoring loudness (P = 0.0001), average snoring loudness (P = 0.00001), and the percentage of palatal snoring (P = 0.0007). There was also a significant decrease in oxygen desaturation events (P = 0.003).
Conclusions結論
This study suggests oral appliances may be effective treatment for both palatal and tongue base snoring.
口腔矯治器能減少上腭振顫和舌根鼾症？
Objectives 目的
口腔矯治器用來藉由前移下頜和舌頭治療鼾症與睡眠窒息症。我們測試認為口腔矯治器會影響上腭鼾症和舌根阻塞的假設。
Methods方法
前瞻性觀察的世代研究（prospective observational cohort study）。60位主訴患有鼾症（有或無窒息症）的患者參加。每位患者接受一項居家睡眠測試，再連續3周於睡眠時配戴口腔矯治器。使用這項裝置的同時，每位患者再重複接受一次居家睡眠測試。
Results結果
在每小時的打鼾數（P = 0.0005）、打鼾最大音量(P = 0.0001)、平均打鼾音量(P = 0.00001)、上腭鼾症百分比(P = 0.0007)方面，統計上顯示有明顯的增加。氧低飽和事件（oxygen desaturation events）也有明顯的減少(P = 0.003)。
Conclusions結論
本研究顯示口腔矯治器可能是上腭鼾症和舌根鼾症的有效治療方法。