Effect of temporomandibular joint and airflow volume by changing jaw position of normal subjects and patients with sleep apnea syndrome

改变颌位对正常人和睡眠呼吸暂停综合征患者颞下颌关节和气流量的影响

• 批准号: 16591963
• 负责人: MASUMI Shin-ichi
• 金额: $ 2.18万
• 依托单位: Kyushu Dental College
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2004
• 资助国家: 日本
• 起止时间: 2004 至 2005
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-16591963/
• 关键词: sleep apnea syndrome; oral appliance; jaw position; flow volume; body posture; temporomandibular joint; 努力呼吸; 姿勢位

The aim of this study was to evaluate whether substantial airflow changes occur by changing both jaw position and body posture in normal subjects and patients with obstructive sleep apnea (OSA).15 normal controls (9 males and 6 females) and 15 male OSA patients participated in this study. All subjects were measured their maximum forced inspiratory flow (FIF_<25-75>) curve in seven positions as follows; a.0% jaw forward-upright position, b. 0% jaw forward-supine position, c.50% jaw forward-supine position, d.75% jaw forward-supine position, e.0% jaw forward-lateral position, f.50% jaw forward-lateral position, g.75% jaw forward-lateral position.Although FIF_<25-75> was increased by changing the body posture from supine to lateral in normal subjects, it wasn't increased by increasing the jaw forward position of them. On the other hand, the more jaw position forward, the more FIF_<25-75> increased in OSA patients. But it wasn't increased by changing the body posture of them. There were no significant differences between 50% forward and 75% forward jaw position in both groups.In normal subjects, change of jaw position was more effective than that of body posture for FIF_<25-75>. However in OSA patients, change of body posture was more effective than that of jaw position for FIF_<25-75>. It was suggested that the treatment effect in 50% forward position was similar in 75% forward position.

本研究的目的是评估是否发生实质性的气流变化，通过改变下颌位置和身体姿势在正常人和阻塞性睡眠呼吸暂停（OSA）患者。15名正常对照组（9名男性和6名女性）和15名男性OSA患者参加了这项研究。所有受试者在以下七个位置测量其最大用力吸气流量（FIF_<25-75>）曲线：a.0%颌前直立位，B。0%颌前仰位、c.50%颌前仰位、d.75%颌前仰位、e.0%颌前侧卧位、f.50%颌前侧卧位、g.75%颌前侧卧位<25-75>。另一方面，在OSA患者中，下颌位置越向前，FIF_增加越多<25-75>。但改变身体姿势并不能提高其运动能力。在正常人中，改变颌位比改变体位对FIF_的影响更大<25-75>。而在OSA患者中，改变体位比改变颌位对FIF_的影响更大<25-75>。提示50%前伸位的治疗效果与75%前伸位相似。

项目成果

閉塞型睡眠時無呼吸症候群の口腔内装置に有効な下顎位および体位の検討

对阻塞性睡眠呼吸暂停综合征口腔矫治器有效的下颌位和体位检查

• 发表时间: 2005
• 期刊: 補綴誌 49
• 作者: 津田緩子;樽見進一
• 通讯作者: 樽見進一

Role of dentistry for treatment of sleep apnea syndrome and indirect fabrication of oral appliance

牙科在治疗睡眠呼吸暂停综合征中的作用和口腔矫治器的间接制造

• 发表时间: 2004
• 期刊: J Dental Technology 32
• 作者: Masumi S.;Makihara E.
• 通讯作者: Makihara E.

睡眠時無呼吸症候群と歯科

睡眠呼吸暂停综合征和牙科

• 发表时间: 2004
• 期刊: 九州歯会誌 58
• 作者: 津田緩子;小田展生;鱒見進一;緒方敏明 他;K.Hisatsune et al.;鱒見進一
• 通讯作者: 鱒見進一

睡眠時無呼吸症候群に対する歯科の役割と間接法による歯科的装置の製作法

牙科在治疗睡眠呼吸暂停综合征中的作用以及使用间接法的牙科装置的制造方法

• 发表时间: 2004
• 期刊: 歯科技工 32
• 作者: 鱒見進一;槙原絵理
• 通讯作者: 槙原絵理

睡眠時無呼吸症候群への歯科臨床での対応

睡眠呼吸暂停综合征的临床牙科治疗

• 发表时间: 2004
• 期刊: 補綴臨床 37
• 作者: Masumi S.;Makihara E.;鱒見進一
• 通讯作者: 鱒見進一