{"id":1446,"date":"2025-03-13T14:09:57","date_gmt":"2025-03-13T06:09:57","guid":{"rendered":"https:\/\/www.mch-osa.com\/?post_type=case&p=1446"},"modified":"2026-08-31T18:46:15","modified_gmt":"2026-08-31T10:46:15","slug":"case15","status":"publish","type":"case","link":"https:\/\/www.mch-osa.com\/zh\/case\/case15\/","title":{"rendered":"\u6df1\u5ea6\u7761\u7720\u6b63\u989a\u624b\u672f\u80fd\u91cf\u6ee1\u683c! \u547c\u5438\u987a\u4e86\u68a6\u4e5f\u751c\u4e86"},"content":{"rendered":"
\u672f\u524d\u75c7\u72b6<\/td>\u624b\u672f\u8ba1\u753b<\/td><\/tr>
\u91cd\u5ea6<\/strong>\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\u3001\u60c5\u7eea\u4e0d\u4f73\u3001\u8bb0\u5fc6\u9000\u5316\u4ee5\u53ca\u8ba4\u77e5\u529f\u80fd\u969c\u788d\u7b49\u4e34\u5e8a\u75c7\u72b6\u3002<\/td>\u62d3\u5bbd\u547c\u5438\u9053\u7684\u6b63\u989a\u624b\u672f<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
\n\t
\u4e00\u4f4d\u5f88\u55dc\u7761\u7684\u60a3\u8005\uff0c\u5e26\u7740\u7761\u7720\u62a5\u544a\u524d\u6765\u6c42\u8bca\uff0c\u62a5\u544a\u663e\u793a\u4ed6\u662f\u91cd\u5ea6\u7761\u7720\u547c\u5438\u4e2d\u6b62(AHI = 31.4 \/hr)\uff0c\u56e0\u4e3a\u957f\u671f\u7f3a\u4e4f\u5feb\u901f\u52a8\u773c\u671f\u7761\u7720(REM sleep)\uff0c\u4ed6\u4e5f\u51fa\u73b0\u4e86\u60c5\u7eea\u4e0d\u4f73\u3001\u8bb0\u5fc6\u9000\u5316\u4ee5\u53ca\u8ba4\u77e5\u529f\u80fd\u969c\u788d\u7b49\u4e34\u5e8a\u75c7\u72b6\u3002<\/div>\n\t
\n\t\u591a\u5e74\u6765\uff0c\u4ed6\u5148\u540e\u5c1d\u8bd5\u4e86\u9633\u538b\u547c\u5438\u5668\u53ca\u6b62\u9f3e\u7259\u5957\uff0c\u4f46\u8fd9\u51e0\u5e74\u6709\u8d8a\u6765\u8d8a\u65e0\u6cd5\u9002\u5e94\u7684\u60c5\u51b5\uff0c\u4f1a\u5728\u7761\u7720\u4e2d\u628a\u8fd9\u4e9b\u5e2e\u52a9\u547c\u5438\u7684\u8f85\u52a9\u88c5\u7f6e\u81ea\u5df1\u79fb\u9664\uff0c\u81ea\u7136\u5c31\u6ca1\u6709\u6cbb\u7597\u6548\u679c\uff0c<\/div>\n\t
\u6240\u4ee5\u4ed6\u5e0c\u671b\u80fd\u5bfb\u6c42\u8f83\u6839\u9664\u6027\u7684\u624b\u672f\u6cbb\u7597\u3002\u6211\u4eec\u4e3a\u4ed6\u6267\u884c\u4e86\u62d3\u5bbd\u547c\u5438\u9053\u7684\u6b63\u989a\u624b\u672f(Maxillo-Mandibular Advancement)(MMA)\uff0c \u4ece\u7535\u8111\u65ad\u5c42\u4e0a\u53ef\u4ee5\u770b\u5230\u963b\u585e\u7684\u4f4d\u7f6e(\u60ac\u58c5\u5782\u4ee5\u53ca\u820c\u6839)\uff0c\u5f97\u5230\u5f88\u597d\u7684\u6253\u901a\u53ca\u62d3\u5bbd\uff0c\u820c\u9aa8\u7684\u4f4d\u7f6e\u6709\u5f88\u660e\u663e\u5411\u4e0a\u4ee5\u53ca\u5411\u524d\u7684\u62c9\u63d0\u3002<\/div>\n\t
\u672f\u540e\u7684\u7761\u7720\u62a5\u544a\u663e\u793a\uff0c\u7761\u7720\u547c\u5438\u4e2d\u6b62\u6307\u6570(AHI)\u753131.4\/hr\u964d\u4e3a7.5\/hr\uff0c\u6700\u4f4e\u8840\u6c27\u6d53\u5ea6\u753180%\u5347\u9ad8\u523089%\uff0c\u7761\u7720\u7ed3\u6784\u4e5f\u66f4\u63a5\u8fd1\u5065\u5eb7\u7684\u4e2a\u4f53\uff0c\u539f\u5219\u4e0a\uff0c\u6cbb\u7597\u76ee\u6807\u5e94\u8be5\u8981\u51cf\u5c11\u6d45\u7761\u671fN2\u5e76\u4e14\u589e\u52a0\u6df1\u5ea6\u7761\u7720N3\u4ee5\u5feb\u901f\u52a8\u773c\u671f(REM)\u7684\u5360\u6bd4\uff0c\u6d45\u7761\u671fN2\u753172.4%\u964d\u4f4e\u4e3a55.7%(\u5065\u5eb7\u4e2a\u4f53N2\u5e94\u536055%)\uff0c\u6df1\u5ea6\u7761\u7720N3\u75319.4%\u5347\u9ad8\u523012.1%(\u5065\u5eb7\u4e2a\u4f53N3\u5e94\u536015%)\uff0c\u6700\u91cd\u8981\u7684\uff0c\u5feb\u901f\u52a8\u773c\u671f(REM)\u75319.4%\u5347\u9ad8\u523024.8%(\u5065\u5eb7\u4e2a\u4f53REM\u5e94\u536025%)\u3002<\/div>\n\t
\u56e0\u4e3a\u6df1\u5ea6\u7761\u7720\u7684\u589e\u52a0\uff0c\u8fd9\u4f4d\u60a3\u8005\u624b\u672f\u540e\u6709\u6bd4\u8f83\u7761\u9971\u5145\u6ee1\u7535\u7684\u611f\u89c9\uff0c\u5fc3\u60c5\u4e5f\u6bd4\u8f83\u9633\u5149\u6b63\u9762\uff0c\u751f\u6d3b\u53ca\u5de5\u4f5c\u90fd\u66f4\u6709\u6d3b\u529b\u3002<\/div>\n<\/div>\n
\n\t
A very drowsy patient came to us with his sleep report, which showed that he had severe obstructive sleep apnea (AHI = 31.4\/hr). Due to prolonged lack of rapid eye movement (REM) sleep, he also exhibited clinical symptoms such as poor mood, memory decline, and cognitive dysfunction. <\/div>\n\t
\n\tOver the years, he had tried using positive airway pressure device (CPAP) and oral appliance. In recent years,however, he has found it increasingly difficult to adapt to these devices, often removing them during sleep, resulting in ineffective treatment.<\/div>\n\t
He decided to seek a more radical surgical treatment.We performed a Maxillo-Mandibular Advancement (MMA) surgery designed to enlarge and stabilize his airway from collapsing during sleep. The CT scan showed the sites of the obstruction (uvula and tongue base), and we achieved a good opening and widening of the airway. The hyoid bone was significantly lifted upward and pulled forward from the advanced lower jaw.<\/div>\n\t
Post-operative sleep reports showed that the apnea-hypopnea index (AHI) decreased from 31.4\/hr to 7.5\/hr, the minimum blood oxygen saturation increased from 80% to 89%, and the sleep structure became much closer to that of healthy individuals. Our aim was to decrease the proportion of light sleep (N2) while to increase the amount of deep sleep (N3) and REM sleep. According to the post-op sleep report, the light sleep N2 decreased from 72.4% to 55.7% (N2 should account for only 55% in healthy individuals), deep sleep N3 increased from 9.4% to 12.1% (N3 should account for 15% in healthy individuals), and most importantly, the REM sleep stage increased from 9.4% to 24.8% (REM should account for 25% in healthy individuals). <\/div>\n\t
Due to the increase in deep sleep, the patient felt more refreshed and energized after the surgery, with a more positive mood and more vitality in life and work.<\/div>\n<\/div>\n\n