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可摘功能矫治器治疗II类错𬌗伴大覆盖儿童的睡眠呼吸障碍——一项纵向研究

Sleep-disordered breathing in children with class II and large overjet treated with removable functional appliance - A longitudinal study.

临床研究鼻科IF 2.7Q1

文献信息

中文摘要

目的:
对9-14岁II类错𬌗伴大覆盖≥6 mm的儿童(研究组)在使用可摘功能矫治器治疗前(T0)、治疗中(T1)和治疗后(T2)的睡眠呼吸障碍(SDB)进行检测,并与对照组进行比较。

方法:
在T0时,研究组包括37名儿童,对照组包括32名儿童。两组的排除标准如下:疾病、综合征、过敏、哮喘、口呼吸、腺样体肥大和扁桃体肥大。通过呼吸描记术手动评估和评分SDB。使用调整了性别、治疗时间和体重指数的一般线性模型比较两组之间的SDB参数。

结果:
两组之间未发现SDB的显著差异(p = .258),尽管在T0时,研究组中有8.6%的儿童存在SDB,而对照组中没有。在T1或T2时,没有人被诊断为SDB。从T0-T1、T1-T2或T0-T2,两组之间在SDB参数变化方面未观察到显著差异。

结论:
在T0时,研究组中有8.6%的儿童存在SDB,但在T1或T2时没有。两组之间在SDB参数随时间变化方面未发现显著差异。

临床试验注册:
NCT04964830。

英文摘要

OBJECTIVE: Sleep-disordered breathing (SDB) was examined in children aged 9-14 years with class II and large overjet ≥ 6 mm (study group) before (T0), during (T1) and after treatment (T2) with a removable functional appliance, compared to a control group.
METHODS: At T0, the study group included 37 children, and the control group included 32 children. For both groups, exclusion criteria were as follows: diseases, syndromes, allergies, asthma, mouth breathing, adenoid vegetations, and hypertrophied tonsils. SDB was assessed and scored manually by respiratory polygraphy. SDB parameters between the groups were compared using a general linear model adjusted for sex, treatment time, and body mass index.
RESULTS: No significant difference in SDB was found between the groups (p = .258), although at T0, 8.6% of the children in the study group and none in the control group had SDB. None were diagnosed with SDB at T1 or T2. No significant differences in changes in SDB parameters between the groups were observed from T0-T1, T1-T2, or T0-T2.
CONCLUSIONS: At T0, 8.6% of study group children had SDB but none at T1 or T2. No significant difference in changes in SDB parameters over time was found between the groups.
CLINICAL TRIALS REGISTRATION: NCT04964830.