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  本文選題：阻塞性睡眠呼吸暫停低通氣綜合征 + 下頜定位��； 參考：《寧夏醫(yī)科大學(xué)》2012年碩士論文

【摘要】：目的:為下頜前伸式口腔矯治器治療阻塞性睡眠呼吸暫停低通氣綜合征OSAHS（obstructive sleep apnea hypopnea syndrome）的下頜定位提供參考 方法:客觀方面采用X線頭影測量分別對32例患者戴用自行調(diào)節(jié)式口腔矯治器于治療前、醫(yī)師經(jīng)驗位及患者調(diào)節(jié)位時下頜水平及垂直測量項目的具體數(shù)據(jù)，，并進行統(tǒng)計學(xué)處理；主觀方面結(jié)合Helkimo主訴癥狀指數(shù)分析；主客觀相結(jié)合得出相關(guān)結(jié)論。 結(jié)果:醫(yī)師經(jīng)驗位和患者調(diào)節(jié)位與治療前比較時，測量項目均有差異；醫(yī)師經(jīng)驗位和患者調(diào)節(jié)位比較時，除S-Ar-Go和H-MP測量數(shù)據(jù)相差不大且前者P值為0.95后者P值為0.843均大于0.05,其他測量項目均有顯著差異（p0.05）。兩個位置時自行調(diào)節(jié)式口腔矯治器作用的主訴癥狀指數(shù)都有改善，但在患者調(diào)節(jié)位時的改善要較醫(yī)師經(jīng)驗位時的改善更顯著。 結(jié)論：自行調(diào)節(jié)式口腔矯治器的醫(yī)師經(jīng)驗位和患者調(diào)節(jié)位的下頜骨位置存在差異�；颊叩闹髟V癥狀指數(shù)因醫(yī)師經(jīng)驗位和患者調(diào)節(jié)位的不同而存在差異，患者調(diào)節(jié)位優(yōu)于醫(yī)師經(jīng)驗位。自行調(diào)節(jié)式口腔矯治器可以達(dá)到個性化治療目的。
[Abstract]:Objective: to provide a reference for mandibular localization of obstructive sleep apnea hypopnea syndrome (OSAHS(obstructive sleep apnea hypopnea syndrome) treated with mandibular protruding oral appliance. Methods: using X-ray cephalometry to measure the specific data of mandibular horizontal and vertical measurement in 32 patients who were wearing self-adjusting oral appliance before treatment, experience position of physician and patient's adjustment position, and were analyzed statistically. Subjective aspect combined with Helkimo main complaint symptom index analysis, subjective and objective combined with the relevant conclusions. Results: there were differences in the measurement items between the physician's experience position and the patient's adjustment position, and the comparison between the physician's experience position and the patient's adjustment position. Except for S-Ar-Go and H-MP, there was no significant difference in P value (P = 0. 95) and P value (P = 0.843) > 0. 05 (P = 0. 05), but there was significant difference in other measurement items (P < 0. 05). The main complaint symptom index of the self-regulated oral appliance was improved in both positions, but the improvement was more significant in the adjustment of the patient's position than that in the physician's experience position. Conclusion: there are differences in the position of the mandible between the physician's experience position and the patient's position. The main complaint symptom index of the patients is different because of the difference of the physician's experience position and the patient's adjustment position, and the patient's adjustment position is superior to the physician's experience position. Self-adjusting oral appliance can achieve the purpose of individualized treatment.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R766

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