【肌肉功能训练联合咬合诱导剂治疗OSA患儿错颌畸形的疗效观察】。

Yuan Xin, Jie Chen, Peiyin Sun
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摘要

目的:探讨肌功能训练联合咬合诱导剂治疗儿童阻塞性睡眠呼吸暂停(OSA)术后错颌畸形的临床疗效。方法:本研究共纳入2020年1月至2021年12月在上海交通大学医学院附属上海儿童医学中心接受OSA手术的40例儿科患者。将患者分为治疗组(n=20)和对照组(n=20)。治疗组采用肌功能训练联合咬合诱导剂,对照组单独进行肌功能训练。比较两组患者术前和术后12个月的硬组织测量值。同时,对患者术前、术后6个月、术后12个月分别填写OSA-18问卷,共18个项目评估OSA患儿的生活质量。结果:①两组患者术后12个月睡眠障碍、躯体症状、情绪状态、日间嗜睡、精力状态评分及对监护人的影响程度均有显著改善(ppp)。结论:OSA患儿术后肌肉功能训练联合咬合诱导剂可改善牙列不整齐,效果优于单纯肌肉功能训练。
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[The efficacy of muscle function training combined with occlusal inducer in the treatment of malocclusion in children with OSA].

Objective:This study aims to investigate the clinical effectiveness of muscle function training combined with occlusal inducers in the treatment for children's malocclusion after obstructive sleep apnea(OSA) surgery. Methods:A total of 40 pediatric patients who underwent surgery for OSA at Shanghai Children's Medical Center, affiliated with Shanghai Jiao Tong University School of Medicine, from January 2020 to December 2021 were involved in this study. They were divided into a treatment group(n=20) and a control group(n=20). The treatment group received muscle function training combined with occlusal inducers, while the control group received muscle function training alone. Cephalometric measurements of hard tissues were compared between the two groups before and 12 months after surgery. Additionally, the OSA-18 questionnaire, which includes 18 items to assess the life quality of children with OSA, was filled out before surgery, 6 months after surgery, and 12 months after surgery by these patients. Results:①The scores of sleep disorders, physical symptoms, emotional status, daytime sleepiness and energy status and the degree of influence on guardians in the two groups were significantly improved at 12 months after operation(P<0.05). The scores of sleep disorders, physical symptoms, emotional status and the degree of influence on guardians in the treatment group were better than those in the control group(P<0.05). ②Cephalometric data at 12 months after operation showed that the upper and lower alveolar seat angle(ANB), Overbite, upper and lower central incisor angle(U1-L1) and Overjet in the treatment group were lower than those in the control group at 12 months after operation, and the difference was statistically significant(P<0.05). Conclusion:Children with OSA can improve the dentition irregularity by muscle function training combined with occlusal inducer after operation, and the effect is better than that of muscle function training alone.

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