Lečenje opstruktivne apneje u snu pomoću oralnih aparata – naša iskustva

  • Dušan Miljuš Department for Prosthodontics, Faculty of Dentistry, University of Belgrade, Belgrade, Serbia
  • Ljiljana Tihaček-Šojić Department for Prosthodontics, Faculty of Dentistry, University of Belgrade, Belgrade, Serbia
  • Aleksandra Milić-Lemić Department for Prosthodontics, Faculty of Dentistry, University of Belgrade, Belgrade, Serbia
  • Marko Andjelković Department for Prosthodontics, Faculty of Dentistry, University of Belgrade, Belgrade, Serbia
DOI: https://doi.org/10.2298/2989
Ključne reči: sleep apnea, obstructive||, ||apneja u snu, opstruktivna, orthodontic appliances||, ||ortodontski aparati, treatment outcome||, ||lečenje, ishod,

Sažetak


Uvod/Cilj. Opstruktivna apneja u snu je jedan od najčešćih poremećaja spavanja. Dokazano je da su bolesnici koji pate od ovog poremećaja skloniji saobraćajnim nezgodama i povredama na radu, kao i da su izloženi većem riziku od nastanka koronarne bolesti srca i moždanog udara. Cilj ovog istraživanja bio je da se utvrdi uspešnost terapije blage i umerene opstruktivne apneje u snu oralnim aparatima. Metode. Ukupno 15 bolesnika sa prethodno uspostavljenom dijagnozom blage ili umerene opstruktivne apneje u snu bilo je uključeno u istraživanje. Oralni aparati su individualno urađeni za svakog bolesnika, sa mandibulom u protruzionom položaju 50% od maksimalnog. Bolesnicima je preporučeno da izbegavaju spavanje na leđima i unošenje alkohola tokom trajanja studije, jer ovi faktori mogu uticati na pogoršanje simptoma. Rezultati. Potpuni i delimični uspeh terapije postignut je kod 14 bolesnika. Vrednosti apneja-hipopneja indeksa bile su statistički značajno niže (p < 0,05) od početnih vrednosti na kraju 6-mesečnog perioda posmatranja. Registrovano je i značajno poboljšanje simptoma, kao i značajno umanjenje vretnosti indeksa dnevne pospanosti već posle prvog meseca terapije. Zaključak. Oralni aparati su bili uspešni u lečenju opstruktivne apneje u snu. Bolesnici su iskazali veliku lagodnost i bili su spremni da nose oralne aparate i duži vremenski period. Upotreba oralnih aparata je uobičajena u svetu, i ne treba da bude zanemarena. Vrlo su praktični, lagodni za nošenje i pristupačniji u poređenju sa aparatom za kontinuirani pozitivni pritisak u disajnim putevima (CPAP), a pogotovo sa hirurškom intervencijom. Upotreba oralnih aparata je bezbedna i trebalo bi je ponuditi bolesnicima kao jedno od mogućih rešenja.

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Received on November 29, 2

Objavljeno
2015/04/23
Broj časopisa
Vol. 71 Br. 7 (2014)
Rubrika
Originalni članak