{"id":433,"date":"2024-11-28T16:56:58","date_gmt":"2024-11-28T08:56:58","guid":{"rendered":"https:\/\/www.mch-osa.com\/?post_type=case&#038;p=433"},"modified":"2026-08-31T18:46:10","modified_gmt":"2026-08-31T10:46:10","slug":"case12","status":"publish","type":"case","link":"https:\/\/www.mch-osa.com\/zh\/case\/case12\/","title":{"rendered":"\u91cd\u5ea6\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\uff1a\u4e3a\u4e86\u5b69\u5b50\u51b3\u5b9a\u505aMMA\u6b63\u989a\u624b\u672f"},"content":{"rendered":"<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>\u672f\u524d\u75c7\u72b6<\/td><td>\u624b\u672f\u8ba1\u753b<\/td><\/tr><tr><td>\u91cd\u5ea6\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\u4e0b\u5df4\u53ca\u4e0b\u989a\u540e\u7f29<\/td><td>3D\u5ba2\u5236\u5316\u6b63\u989a\u624b\u672f\u4e0b\u5df4\u524d\u79fb\u624b\u672f\u591a\u5c42\u6b21\u547c\u5438\u9053\u62d3\u5bbd<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">\u672f\u540e\u6539\u53d8<\/h2>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"\u6211\u592a\u592a\u7ec8\u4e8e\u4e0d\u7528\u6234\u8033\u585e\u4e86\uff01\u4e00\u4f4d\u60a3\u8005\u7684\u6b63\u989a\u624b\u672f\u4e4b\u8def\uff5c\u6b63\u989a\u624b\u672f\u6848\u4f8b\u89c1\u8bc1\uff5c\u98ce\u534e\u8054\u5408\u8bca\u6240\" width=\"1290\" height=\"726\" src=\"https:\/\/www.youtube.com\/embed\/5xsZY3mAhEQ?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">\u8bca\u7597\u8ba1\u753b\u53ca\u672f\u540e\u6539\u53d8<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u8fd9\u662f\u4e00\u4f4d\u88ab\u8bca\u65ad\u4e3a\u91cd\u5ea6\u7761\u7720\u547c\u5438\u4e2d\u6b62(severe obstructive sleep apnea\/OSA)\u7684\u60a3\u8005(AHI=69.8)\uff0c\u8ddf\u5f88\u591a\u75c5\u53cb\u7684\u7ecf\u5386\u7c7b\u4f3c\uff0c\u9996\u5148\u662f\u5982\u96f7\u8d2f\u8033\u7684\u6253\u9f3e\u58f0\u5435\u5230\u4f34\u4fa3\u6bcf\u5929\u7761\u89c9\u90fd\u5fc5\u987b\u6234\u8033\u585e\u7684\u5730\u6b65\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5b69\u5b50\u51fa\u751f\u540e\uff0c\u603b\u4e0d\u80fd\u8981\u6c42\u5b69\u5b50\u4e56\u4e56\u6234\u8033\u585e\uff0c\u9664\u4e86\u9020\u6210\u5bb6\u4eba\u7684\u56f0\u6270\u4e4b\u5916\uff0c\u957f\u671f\u591c\u95f4\u7761\u4e0d\u597d\uff0c\u4e5f\u9020\u6210\u767d\u5929\u4e25\u91cd\u55dc\u7761(daytime somnolence)\uff0c\u4e3a\u4e86\u81ea\u5df1\u3001\u4e3a\u4e86\u5bb6\u4eba\uff0c\u4ed6\u51b3\u5fc3\u597d\u597d\u6765\u6cbb\u7597\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4ed6\u8bd5\u8fc7\u51e0\u4e4e\u6240\u6709\u4f1a\u88ab\u5efa\u8bae\u7684\u975e\u624b\u672f\u65b9\u5f0f\uff1a\u4fa7\u7761\u3001\u9633\u538b\u547c\u5438\u5668(CPAP)\u3001\u6b62\u9f3e\u7259\u5957(mandibular advancement device\/MAD)\uff0c\u56e0\u4e3a\u4ed6\u7684AHI\u6570\u503c\u592a\u9ad8\uff0c\u6240\u4ee5\u6548\u679c\u975e\u5e38\u6709\u9650\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u56e0\u6b64\u4ed6\u51b3\u5fc3\u63a5\u53d7\u76ee\u524d\u6210\u529f\u7387\u6700\u9ad8\u7684\u624b\u672f\uff1aMMA(maxillo-mandibular advancement)(\u6b63\u989a\u624b\u672f\u7684\u4e00\u79cd)\u3002\u672f\u540e\uff0cAHI\u6570\u503c\u4ece69.8\u964d\u523013\uff0c\u7761\u7720\u4e2d\u6700\u4f4e\u8840\u6c27\u6d53\u5ea6\u4e5f\u4ece\u5371\u9669\u768453%\u4e0a\u5347\u81f383%\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" 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