Investigation of trends and characteristics in patients with obstructive sleep apnea.
Investigation of trends and characteristics in patients with obstructive sleep apnea.
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DOI：
10.1007/s13191-010-0012-2
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发表时间：
2010-03-01
影响因子：
1.2
通讯作者：
Ohkubo, C
中科院分区：
文献类型：
--
作者：
Ishikawa, Chieko;Shigeta, Yuko;Ohkubo, C
背景：自 2004 年以来，针对阻塞性睡眠呼吸暂停 (OSA) 的口腔矫治器 (OA) 治疗才成为日本国家医疗保健覆盖计划的一部分。随后，没有足够的时间来确定日本牙科医院 OSA 患者的医疗趋势和特征。目的：本研究的目的是调查就诊于我们诊所的 OSA 患者的医疗趋势和特征，并将我们的研究结果与以前的研究进行比较。背景和设计：流行病学调查（回顾性研究）。 材料和方法：2006年2月至2008年12月，鹤见大学牙科医院内科连续招募201名患者。患者接受了医疗访谈和详细的睡眠分析，其中包括多导睡眠图 (PSG)，以验证其病情的确切性质。在 49 名佩戴 OA 并接受 PSG 的患者中评估 OA 的疗效。 结果：在所有受试者中，141 名患者前往修复科接受 OA 治疗，38 名患者在内科接受治疗或接受后续检查。所有受试者的退出率为 10.4%，前往修复科的患者的退出率为 17.0%。就诊修复科的患者男女比例为3.3:1、3.0:1。此外，女性患 OAS 严重程度的比例低于男性。在我们的患者中，主要并发症是高血压和心脏病。 OA 的成功率为 75.5%。 结论：这种方法使我们能够揭示患者的一些趋势和特征。
BACKGROUND: Oral appliance (OA) therapy for obstructive sleep apnea (OSA) has only been part of Japan's National Health care coverage plan since 2004. Subsequently, not enough time has passed to establish the medical trends and characteristics of OSA patients in Japanese Dental Hospitals.AIM: The aim of this study was to investigate the medical trends and the characteristics in patients with OSA who visited our clinic, and to compare our findings with previous studies.SETTING AND DESIGN: Epidemiological survey (retrospective study).MATERIALS AND METHODS: Two hundred and one patients were recruited at the Internal Medicine Division in the Tsurumi University Dental Hospital from February 2006 to December 2008, consecutively. Patients received a medical interview, and a detailed sleep analysis that included a polysomnography (PSG) to verify the exact nature of their condition. The efficacy of OA was assessed in 49 patients who wore an OA and underwent PSG.RESULTS: Of all subjects, 141 patients visited the Prosthodontic Division to receive OA therapy, 38 patients were treated or received a follow up examination in the Internal Medicine Division. The dropout rate was 10.4% in the all subjects, 17.0% in patients who visited the Prosthodontic Division. The male-to-female ratio was 3.3:1, 3.0:1 in patients who visited the Prosthodontic Division. In addition, females had a lower rate of OAS severity than males. In our patients, the major complication was hypertension and cardiac disease. The success rate of OA was 75.5%.CONCLUSION: This approach allowed us to reveal some of the trends and characteristics in our patients.