Assuntos
Apneia Obstrutiva do Sono/terapia , Adulto , Obstrução das Vias Respiratórias/fisiopatologia , Criança , Pressão Positiva Contínua nas Vias Aéreas , Humanos , Hipóxia/fisiopatologia , Avanço Mandibular/instrumentação , Obesidade/complicações , Placas Oclusais , Desenho de Aparelho Ortodôntico , Fatores de Risco , Apneia Obstrutiva do Sono/complicações , Apneia Obstrutiva do Sono/fisiopatologia , Ronco/fisiopatologia , Recusa do Paciente ao TratamentoRESUMO
AIMS: The incidence of obstructive sleep apnea (OSA) in snoring patients is reported in the literature to range from 20% to 70%. The aim of this study was to obtain exact data on the percent of snorers who have OSA, and to classify them as having normal, mild, moderate, or severe sleep apnea. METHODOLOGY: There were 273 patients who came into the senior author's office with sleep disorder breathing problems. They suffered with various sleep problems. All 273 patients also had a snoring problem. None of the 273 patients had ever had a sleep test, or polysomnograph (PSG). All 273 required a PSG for evaluation of their sleep problem. They were referred to a certified sleep lab local to them. When the results of the PSG came back, the authors were able to classify them as having normal, mild, moderate, or severe sleep apnea. RESULTS: The results of the 273 PSGs showed the following: 12 patients (4%) had PSGs of apnoea-hypopnoea index (AHI)<5 (normal), 57 patients (21%) had PSGs with AHIs 5-<15 (mild), 79 patients (29%) had PSGs with AHIs 15-<30 (moderate), 119 patients (44%) had PSGs 30 or >30 (severe), and 6 patients (2%) had PSGs >100 (severe). CONCLUSIONS: Based on this study, of 273 patients who snored, the incidence of OSA is high. Ninety-six percent of the patients suffered with mild to severe sleep apnea. This malady, which can be very serious and degenerating, could be much more prevalent than previously believed. Additional research is needed to verify these figures.
Assuntos
Apneia Obstrutiva do Sono/epidemiologia , Ronco/epidemiologia , California/epidemiologia , Humanos , Incidência , Projetos Piloto , Polissonografia/métodos , Prevalência , Apneia Obstrutiva do Sono/classificaçãoRESUMO
UNLABELLED: The aim of this study is to determine the effects of the Full Breath Solution (FBS) appliance in the management of obstructive sleep apnea (OSA) in 21 adults diagnosed with OSA. Oxygen saturation (SaO2) and apnea-hypopnea index (AHI) readings taken from polysomnographs (PSGs) indicated that the mean AHI fell by 73% (31.3 +/- 16.3 to 7.3 +/- 6.6, p<0.0001), and the mean SaO2 improved from 84.4% +/- 6.7 to 88.91% +/- 3.9 (p<0.05). While there was no change in total sleep time, the mean REM time during sleep increased from 22.0 min +/- 22.3 to 47.0 min +/- 29.1 (p<0.05). However, there was no change in non-REM time during sleep, or time spent in the supine position while asleep, but the arousal index decreased from 50.8 +/- 31.0 to 15.4 +/- 15.0 (p<0.001). CONCLUSIONS: The Full Breath Solution (FBS) appliance is a novel, effective approach in the management of OSA.
