中国耳鼻咽喉头颈外科2025，Vol.32Issue(4)：239-243,5.DOI:10.16066/j.1672-7002.2025.04.008
口面肌功能训练治疗成年人阻塞性睡眠呼吸暂停的疗效及影响因素分析
Analysis of the efficacy and influencing factors of myofunctional therapy in the treatment of adult obstructive sleep apnea
摘要
Abstract
OBJECTIVE To evaluate the efficacy of oral and facial muscle functional training in treating adult obstructive sleep apnea(OSA)and to identify clinical indicators influencing treatment outcomes.METHODS Through a prospective cohort study,patients diagnosed with OSA in the study unit were recruited to undergo a 3-month myofunctional therapy,including soft palate-related muscles,tongue muscles,buccal muscles,and labial muscles in multiple muscle groups,once a day,five times a week,with the use of offline clinic guidance,and the APP program video follow up training for effective training.Data were collected on multiple dimensions including physical signs,sleep breathing monitoring parameters,and airway measurements from imaging studies.Treatment efficacy was assessed by comparing subjective and objective sleep indicators before and after training.Patients were categorized into effective and ineffective groups based on treatment outcomes.Differences in baseline clinical indicators between these groups were analyzed using univariate and multivariate regression analyses.RESULTS The study finally included 58 people,51 males and 7 females,age(38.36±8.96)years,BMI(27.14±3.68)kg/m2,AHI of the enrolled patients was reduced from(31.27±22.28)times/h pre-training to(26.27±21.38)times/h post-training,the minimum oxygen saturation was increased from(78.43±10.07)%to(80.50±10.06)%,snoring index decreased from(62.80±75.20)times/h to(36.40±43.19)times/h,and ESS score decreased from 7.00±5.31 pre-training to 5.50±3.17.By comparing the effective and ineffective groups,it was found that there was a statistically significant difference in the tongue position and ESS scores between the two groups(both P<0.05),while no significant differences were found in gender,age,neck circumference,posterior soft palate area,uvula area,posterior tongue area,or posterior epiglottic area(all P>0.05).Univariate logistic regression analysis indicated that tongue position,AHI,and ESS scores were factors affecting the efficacy of oral and facial muscle function training.Multivariate regression analysis revealed that AHI was an independent prognostic factor for this training in OSA patients.CONCLUSION Oral and facial muscle function training can improve both subjective and objective sleep breathing indices in OSA patients.Tongue position,AHI,and ESS scores may serve as prognostic factors for OSA treatment,aiding in guiding subsequent individualized intervention therapies.关键词
阻塞性睡眠呼吸暂停/口面肌功能训练/疗效/影响因素Key words
Obstructive sleep apnea/Myofunctional therapy/Curative effect/Influencing factor引用本文复制引用
卢镇章,龙思,钟文倩,张美红,龚小蓉,聂国辉,陶晶,苗北平..口面肌功能训练治疗成年人阻塞性睡眠呼吸暂停的疗效及影响因素分析[J].中国耳鼻咽喉头颈外科,2025,32(4):239-243,5.基金项目
深圳市耳鼻咽喉疾病临床医学研究中心资助项目(20220819120540004-006) （20220819120540004-006）
