睡眠磨牙症患者睡眠时间及习惯性打鼾次数分析

M. Palinkas, Julio Marrara, C. Bataglion, J. Hallak, G. Canto, P. H. Scalize, I. Regalo, S. Siéssere, S. Regalo
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引用次数: 7

摘要

文献没有报道习惯性打鼾和睡眠磨牙症之间的任何联系,但这些情况可能是个人经常抱怨的原因,损害了生活质量。本研究旨在探讨睡眠磨牙症患者的睡眠时间和习惯性打鼾的数量,观察呼气、吸气和混合性打鼾。材料与方法筛选90例睡眠磨牙患者,分为有睡眠磨牙患者组(n=45)和无睡眠磨牙患者组(n=45)。采用单夜睡眠多导睡眠图诊断磨牙症,量化习惯性打鼾和睡眠时间。考虑到睡眠磨牙、打鼾(自变量)和年龄作为协变量的影响诊断,将结果制成表格并提交多变量方差分析(Multivariate analysis of variance, MANOVA)来比较两个独立组的均值。对于事后比较,采用多重比较校正(Bonferroni检验,P < 0.05)。结果两组睡眠时间差异有统计学意义(p = 0.001),睡眠磨牙组睡眠时间更长(有睡眠磨牙组460分钟,无睡眠磨牙组401分钟)。两组间吸气式、呼气式及混合性打鼾次数差异无统计学意义,但有磨牙症组打鼾次数较多。结论本研究的主要发现是睡眠磨牙症患者的睡眠时间比对照组长。这也可能表明,患有睡眠磨牙症的人往往会在睡眠中增加习惯性打鼾的次数。关键词:磨牙症;成人;睡眠呼吸障碍;
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Analysis of the sleep period and the amount of habitual snoring in individuals with sleep bruxism
Background The literature does not report any association between habitual snoring and sleep bruxism, but these situations can be a reason for frequent complaints of individuals, impairing the quality of life. This study was performed to investigate the sleep period and amount of habitual snoring in individuals with sleep bruxism observing expiratory, inspiratory, and mixed snoring. Material and Methods A total of 90 individuals were screened and divided into the following groups: with sleep bruxism (n=45) and those without sleep bruxism (n=45). Single night sleep polysomnography was performed to diagnose sleep bruxism, quantify habitual snoring and sleep period. The results were tabulated and submitted to a Multivariate analysis of variance (MANOVA) to compare the means of the two independent groups, considering the affected diagnosis of sleep bruxism, snoring (independent variables) and age as covariate. For the post hoc, was used correcting for multiple comparisons (Bonferroni test, P <.05). Results There was statistically significant difference among the groups ( p =.001) in the sleep period, in that individuals with sleep bruxism slept for a longer duration (with sleep bruxism group: 460 minutes and without sleep bruxism group: 401 minutes). There were no statistically significant differences among the groups for the number of inspiratory, expiratory and mixed snores, but was observed greater amount of snoring in the with sleep bruxism group. Conclusions The main finding of this study is that individuals with sleep bruxism slept longer than the control group. It may also be suggested that individuals with sleep bruxism tended to increase the amount of habitual snoring during sleep. Key words:Bruxism, adult, sleep disordered breathing, polysomnography.
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