Takaisin Tulosta

Apneakiskohoitoon sitoutuminen

Lisätietoa aiheesta
Riitta Pahkala
5.4.2017
Taulukko 1. Tutkimuksia apneakiskohoitoon sitoutumisesta.
Tekijät n Seuranta-aika Käyttö tuntia/yö Käyttö yö/viikko
Ferguson KA ym. 1997
«Ferguson KA, Ono T, Lowe AA ym. A short-term contr...»1
24 4 kk noin 96 % käytti > 75 % yöstä noin 92 % käytti > 75 % öistä
Engleman HM ym. 2002
«Engleman HM, McDonald JP, Graham D ym. Randomized ...»2
48 8 vko 21 % käytti > 3 h
Johnston CD ym. 2002
«Johnston CD, Gleadhill IC, Cinnamond MJ ym. Mandib...»3
21 4–6 vko 79 % käytti ≥ 4 h
Randerath WJ ym. 2002
«Randerath WJ, Heise M, Hinz R ym. An individually ...»4
20 6 vko 33 % käytti > 8 h
53 % käytti 6–7 h
7 % käytti 4–5 h
Barnes M ym. 2004
«Barnes M, McEvoy RD, Banks S ym. Efficacy of posit...»5
114 3 kk 5,5 h (SD 0,3) 5,3 (SD 0,3)
Gotsopoulos H ym. 2004
«Gotsopoulos H, Kelly JJ, Cistulli PA. Oral applian...»6
61 4 vko 6,7 h (SD 0,1) 97 % öistä
Lam B ym. 2007
«Lam B, Sam K, Mok WY ym. Randomised study of three...»7
101 10 vko 6,4 h (SD 2,0) 5,2 (SD 3,0)
Hoekema A ym. 2008
«Hoekema A, Voors AA, Wijkstra PJ ym. Effects of or...»8
28 2–3 kk 6,9 h (SD 1,0) 6,7 (SD 1,0)
Gagnadoux F ym. 2009
«Gagnadoux F, Fleury B, Vielle B ym. Titrated mandi...»9
59 8 vko 7 h (6-8 h) 98 % öistä
(90–100 %)
Trzepizur W ym. 2009
«Trzepizur W, Gagnadoux F, Abraham P ym. Microvascu...»10
12 2 kk 6,8 h (SD1)
Doff MH ym. 2013
«Doff MH, Finnema KJ, Hoekema A ym. Long-term oral ...»11
51 2 v 7,1 h (SD 0,8)
Phillips CL ym. 2013
«Phillips CL, Grunstein RR, Darendeliler MA ym. Hea...»12
126 1 kk 6,5 h (SD 1,3)

Kirjallisuutta

  1. Ferguson KA, Ono T, Lowe AA ym. A short-term controlled trial of an adjustable oral appliance for the treatment of mild to moderate obstructive sleep apnoea. Thorax 1997;52:362-8 «PMID: 9196520»PubMed
  2. Engleman HM, McDonald JP, Graham D ym. Randomized crossover trial of two treatments for sleep apnea/hypopnea syndrome: continuous positive airway pressure and mandibular repositioning splint. Am J Respir Crit Care Med 2002;166:855-9 «PMID: 12231497»PubMed
  3. Johnston CD, Gleadhill IC, Cinnamond MJ ym. Mandibular advancement appliances and obstructive sleep apnoea: a randomized clinical trial. Eur J Orthod 2002;24:251-62 «PMID: 12143089»PubMed
  4. Randerath WJ, Heise M, Hinz R ym. An individually adjustable oral appliance vs continuous positive airway pressure in mild-to-moderate obstructive sleep apnea syndrome. Chest 2002;122:569-75 «PMID: 12171833»PubMed
  5. Barnes M, McEvoy RD, Banks S ym. Efficacy of positive airway pressure and oral appliance in mild to moderate obstructive sleep apnea. Am J Respir Crit Care Med 2004;170:656-64 «PMID: 15201136»PubMed
  6. Gotsopoulos H, Kelly JJ, Cistulli PA. Oral appliance therapy reduces blood pressure in obstructive sleep apnea: a randomized, controlled trial. Sleep 2004;27:934-41 «PMID: 15453552»PubMed
  7. Lam B, Sam K, Mok WY ym. Randomised study of three non-surgical treatments in mild to moderate obstructive sleep apnoea. Thorax 2007;62:354-9 «PMID: 17121868»PubMed
  8. Hoekema A, Voors AA, Wijkstra PJ ym. Effects of oral appliances and CPAP on the left ventricle and natriuretic peptides. Int J Cardiol 2008;128:232-9 «PMID: 17727981»PubMed
  9. Gagnadoux F, Fleury B, Vielle B ym. Titrated mandibular advancement versus positive airway pressure for sleep apnoea. Eur Respir J 2009;34:914-20 «PMID: 19324954»PubMed
  10. Trzepizur W, Gagnadoux F, Abraham P ym. Microvascular endothelial function in obstructive sleep apnea: Impact of continuous positive airway pressure and mandibular advancement. Sleep Med 2009;10:746-52 «PMID: 19147401»PubMed
  11. Doff MH, Finnema KJ, Hoekema A ym. Long-term oral appliance therapy in obstructive sleep apnea syndrome: a controlled study on dental side effects. Clin Oral Investig 2013;17:475-82 «PMID: 22562077»PubMed
  12. Phillips CL, Grunstein RR, Darendeliler MA ym. Health outcomes of continuous positive airway pressure versus oral appliance treatment for obstructive sleep apnea: a randomized controlled trial. Am J Respir Crit Care Med 2013;187:879-87 «PMID: 23413266»PubMed