杨远芳;贾莹;刘娟;丁琪;
YANG Yuanfang;JIA Ying;LIU Juan;DING Qi;The Affiliated Stomatological Hospital of Guizhou Medical University;

• 1:贵州医科大学口腔医学院

摘要(Abstract)：

目的:探讨非阻塞性口呼吸习惯错(牙合)畸形儿童的综合治疗效果。方法:36例非阻塞性口呼吸习惯患儿,分为少年组(n=7)和幼儿组(n=29),两组患儿均采用机械屏阻+颌面肌功能训练+牙列治疗模式进行干预治疗,采用儿童睡眠质量(CSHQ)问卷调查表和呼吸习惯戒除情况评价2组患儿治疗前及治疗3个月时的睡眠质量,比较两组患儿唇肌紧张度、唇闭合情况、上颌牙弓宽度(UAW)、覆(牙合)(OB)、覆盖(OJ)、切牙倾斜度、咬(牙合)平面倾斜度、Y轴角及下颌平面角变化。结果:机械屏阻治疗后,70%患儿戒除口呼吸习惯,幼儿组未见复发,少年组约30%复发;肌功能训练后,部分患儿AW平均增加(1.35±0.23) mm(P=0.034),唇肌紧张度降低、唇闭合度增加,但幼儿组不能配合肌功能训练;切牙唇倾度平均减小(2.37±0.86)°(P=0.009),OJ平均减小(1.83±0.87)mm(P=0.023),OB未显示变化,Y轴角平均减小(3.21±1.13)°,差异有统计学意义。结论:机械屏阻+颌面肌功能训练+牙列治疗对儿童非阻塞性口呼吸习惯的戒除是有效的,早期治疗的效果更好。
Objective: To explore the comprehensive treatment effect on Children with malocclusion of non-obstructive oral respiratory habits. Methods: Six children with non-obstructive oral respiratory habits were divided into juvenile group(n=7) and early childhood group(n=29).Children in both groups were treated with the intervention treatment of mechanical barrier + maxillofacial function training + dentition treatment. Sleep quality of children in two groups was evaluated by(CSHQ) questionnaire and respiratory habit abstinence assessment before treatment and at 3 months of treatment.The lip muscle tension, lip closure, maxillary arch width(UAW), overbite(OB), overjet(OJ), incisor inclination, occlusal plane inclination, Y axis angle and mandibular plane angle were compared between the two groups. Results: After the mechanical barrier treatment, 70% of the patients got rid of oral respiratory habits. There was no recurrence in the early childhood group but around 30% of the juvenile group relapsed. After the maxillofacial function training, the average increase of AW in some children was(1.35±0.23)mm(P=0.034), the tension of lip muscle decreased and the degree of lip closure increased. However, the early childhood group was unable to cooperate with the maxillofacial function training. The average lip inclination of incisors decreased by(2.37±0.86)°(P=0.009), and the average decrease of OJ was 1.83±0.87 mm(P=0.023). OB showed no change. The angle of the Y axis decreased by 3.21±1.13, and the difference was statistically significant. Conclusion: Mechanical barrier+maxillofacial muscle function training+dentition treatment is effective for the withdrawal of non-obstructive oral respiratory habits in children, and the early treatment is better.

关键词(KeyWords)： 口呼吸;睡眠呼吸暂停;非阻塞性;口腔畸形;正畸学;矫正治疗;治疗结果
oral respiratory;sleep apnea;non-obstructive;malocclusion;dental orthopaedics;orthodontic treatment;therapeutic outcome

Abstract:

Keywords:

基金项目(Foundation): 中华口腔医学会西部行临床科研基金项目(CSA-W2015-01)

作者(Authors): 杨远芳;贾莹;刘娟;丁琪;
YANG Yuanfang;JIA Ying;LIU Juan;DING Qi;The Affiliated Stomatological Hospital of Guizhou Medical University;

DOI: 10.19367/j.cnki.1000-2707.2019.06.018

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