The Relationship between Sleep Bruxism and Obstructive Sleep Apnea Based on Polysomnographic Findings
The Relationship between Sleep Bruxism and Obstructive Sleep Apnea Based on Polysomnographic Findings
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DOI：
10.3390/jcm8101653
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发表时间：
2019-10-01
影响因子：
3.9
通讯作者：
Wieckiewicz, Mieszko
中科院分区：
文献类型：
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作者：
Martynowicz, Helena;Gac, Pawel;Wieckiewicz, Mieszko
阻塞性睡眠呼吸暂停（OSA）是最常见的睡眠障碍。睡眠磨牙症（SB）是睡眠期间咀嚼肌的活动，通常与OSA同时发生。本研究旨在评估这种关系，并确定影响这种共同发生的因素。成人患者（n = 110）在睡眠实验室使用多导睡眠描记法进行OSA和SB评估。根据美国睡眠医学学会的标准对磨牙症和呼吸事件的发作进行评分。OSA和SB的患病率分别为86.37%和50%。轻中度OSA组（呼吸暂停低通气指数（AHI）= 30）磨牙症发作指数（BEI）增加（5.50 +/- 4.58 vs. 1.62 +/- 1.28，p < 0.05）。在AHI < 30组中，AHI与BEI呈正相关。回归分析显示，在AHI < 30组中，较高的AHI、男性和糖尿病是BEI增加的独立预测因素。OSA和SB之间的关系取决于OSA的严重程度。在OSA风险增加的患者组中，轻度和中度OSA患者的OSA与SB相关。
Obstructive sleep apnea (OSA) is the most common sleep disorder. Sleep bruxism (SB) is a masticatory muscle activity during sleep that commonly co-occurs with OSA. The presented study aimed to assess this relationship and to identify factors affecting this co-occurrence. Adult patients (n = 110) were evaluated for OSA and SB in a sleep laboratory using polysomnography. The episodes of bruxism and respiratory events were scored according to the standards of the American Academy of Sleep Medicine. The prevalence of OSA and SB was found to be 86.37% and 50%, respectively. The bruxism episode index (BEI) was increased in the group with mild and moderate OSA (apnea-hypopnea index (AHI) = 30) (5.50 +/- 4.58 vs. 1.62 +/- 1.28, p < 0.05). A positive correlation between AHI and BEI was observed in the group with AHI < 30. Regression analysis indicated that higher AHI, male gender, and diabetes were independent predictors for the increased BEI in group with AHI < 30. The relationship between OSA and SB depends on the degree of severity of OSA. OSA is correlated with SB in mild and moderate cases of OSA in the group of patients with increased risk of OSA.