Systematic review on orofacial myofunctional therapy to treat obstructive sleep apnea-hypopnea syndrome
-
-
关键词:
- 口咽肌锻炼 /
- 睡眠呼吸暂停低通气综合征 /
- 阻塞性
Abstract: Obstructive sleep apnea-hypopnea syndrome (OSAHS) is an important risk factor for cardiovascular and cerebrovascular diseases.The widespread collapse of the airway, which can’t maintain its normal position and structure, is an important cause of OSAHS.Noninvasive ventilator-assisted ventilation is the preferred treatment for OSAHS, but there are shortcomings of poor compliance.Orofacial myofunctional therapy (OMT) is a noninvasive, simple, low-cost, low-risk therapy that is expected to replace noninvasive ventilator-assisted ventilation to a certain extent.So far, there is little Chinese literature on OMT, especially no training methods in Chinese version.Therefore, this paper systematically reviewed anatomical abnormalities and pathology of OSAHS, possible treatment mechanism of OMT and related research progress.And we translated two kinds of training method of OMT (Guimarase’s and Hemmat Baz’s) into Chinese for researchers and clinicians’reference, which is widely cited in foreign literature. -
[1] 中华医学会神经病学分会.中国缺血性脑卒中和短暂性脑缺血发作二级预防指南2014[J].中华神经科杂志, 2015, 48 (4):258-273.
[2] 中华医学会心血管病学分会.中国心力衰竭诊断和治疗指南2014[J].中华心血管病杂志, 2014, 42 (2):98-122.
[3] MORGAN T D.Novel approaches to the management of sleep-disordered breathing[J].Sleep Med Clin, 2016, 11:173-187.
[4] 何权瀛, 陈宝元.睡眠呼吸病学[M].北京:人民卫生出版社, 2009:103.
[5] DANTAS D A, MAUAD T, SILVA L F, et al.The extracellular matrix of the lateral pharyngeal wall in obstructive sleep apnea[J].Sleep, 2012, 35:483-490.
[6] MCEVOY R D, ANTIC N A, HEELEY E, et al.持续气道正压通气在预防阻塞性睡眠呼吸暂停患者心血管事件中的作用[J].中华高血压杂志, 2016, 24 (11):1083-1085.
[7] VERMA R K, JOHNSON J Jr, GOYAL M, et al.Oropharyngeal exercises in the treatment of obstructive sleep apnoea:our experience[J].Sleep Breath, 2016, 20:1193-1201.
[8] GUIMARAESKC, DRAGER L F, GENTA P R, et al.Effects of oropharyngeal exercises on patients with moderate obstructive sleep apnea syndrome[J].Am JRespir Crit Care Med, 2009, 179:962-966.
[9] CARRERA M, BARBÉF, SAULEDA J, et al.Effects of obesity upon genioglossus structure and function in obstructive sleep apnoea[J].Eur Respir J, 2004, 23:425-429.
[10] MCSHARRY D, O'CONNOR C, MCNICHOLAS T, et al.Genioglossus fatigue in obstructive sleep apnea[J].Respir Physiol Neurobiol, 2012, 183:59-66.
[11] SHEPHERD K L, JENSEN C M, MADDISON K J, et al.Relationship between upper airway and inspiratory pump muscle force in obstructive sleep apnea[J].Chest, 2006, 130:1757-1764.
[12] FRIEDMAN M, SCHALCH P, LIN H C, et al.Palatal implants for the treatment of snoring and obstructive sleep apnea/hypopnea syndrome[J].Otolaryngol Head Neck Surg, 2008, 138:209-216.
[13] BURKHEAD L M, SAPIENZA C M, ROSENBEK JC.Strength-training exercise in dysphagia rehabilitation:principles, procedures, and directions for future research[J].Dysphagia, 2007, 22:251-265.
[14] BLOTTNER D, SALANOVA M, PÜTTMANN B, et al.Human skeletal muscle structure and function preserved by vibration muscle exercise following 55days of bed rest[J].Eur J Appl Physiol, 2006, 97:261-271.
[15] MOELLER J L, PASKAY L C, GELB M L.Myofunctional Therapy:A novel treatment of pediatric sleep-disordered breathing[J].Sleep Med Clin, 2014, 9:235-243.
[16] GUIMARAES K C.Softtissuechanges of the oropharynx in patients with obstructive sleep apnea[J].JBras Fonoaudiol, 1999, 1:69-75.
[17] DIAFERIA G, SANTOS-SILVA R, TRUKSINAS E, et al.Myofunctional therapy improves adherence to continuous positive airway pressure treatment[J].Sleep Breath, 2017, 21:387-395.
[18] IETO V, KAYAMORI F, MONTES M I, et al.Effects of oropharyngeal exercises on snoring:a randomized trial[J].Chest, 2015, 148:683-691.
[19] 唐世雄, 王耀文, 卿菁, 等.锻炼咽腔与颏舌肌治疗阻塞性睡眠呼吸暂停低通气综合征[J].临床耳鼻喉头颈外科杂志, 2013, 27 (15):822-826.
[20] CAMACHO M, CERTAL V, ABDULLATIF J, et al.Myofunctional therapy to treat obstructive sleep apnea:a systematic review and meta-analysis[J].Sleep, 2015, 38:669-675.
[21] BARRETO D, PITTA S, PESSOA A F, et al.Oral myofunctional therapy applied on two cases of severe obstructive sleep apnea syndrome[J].Int Arch Otorhinolaryngol, 2007, 11:350-354.
[22] BAZ H, ELSHAFEY M, ELMORSY S, et al.The role of oral myofunctional therapy in managing patients with mild to moderate obstructive sleep apnea[J].PAN Arab J Rhinol, 2012, 2:17-22.
[23] VILLA M P, BRASILI L, FERRETTI A, et al.Oropharyngeal exercises to reduce symptoms of OSA after AT[J].Sleep Breath, 2015, 19:281-289.
[24] VILLA M P, EVANGELISTI M, MARTELLA S, et al.Can myofunctional therapy increase tongue tone and reduce symptoms in children with sleep-disordered breathing[J]?Sleep Breath, 2017.
计量
- 文章访问数: 42
- PDF下载数: 154
- 施引文献: 0