CPAP eller sömnapné skena?

En PubMed-sökning som innehåller OSA, CPAP eller apnéskenor kan producera hundratals kliniska artiklar.

Nedan finns utdrag från kliniska artiklar som rapporterar om några av de aktuella frågor som övervägs inom sömnmedicin idag, inklusive behandling av mild OSA, progression av mild OSA och användning av apnéskenor eller CPAP vid mild OSA.

Ska vi till och med behandla mild OSA?

Denna senaste artikel visar överlevnad av obehandlade OSA-patienter 20 år efter diagnosen.

Medan patienter med svår OSA hade lägre överlevnad (25% vid 20 år), överlevde endast 50% av patienterna med mild OSA vid 20 år.

Överlevnadskurvorna för mild och måttlig OSA är nästan exakt desamma – varför ska man behandla måttlig OSA och inte mild OSA?

Förändras svårighetsgraden av OSA?

Under denna studie så följdes 160 patienter under 5 år:

• För primära snarkare med AHI <5 – AHI ökade från 1,8 till 13,4 över 5 år.

• För milda OSA-patienter med AHI 5-15 – AHI ökade från 9,1 till 21,7 över 5 år.

Patienter med mild OSA utvecklades till måttlig OSA under denna period, vilket visar att behandling av mild OSA är viktig.

Hur är det med följsamheten till CPAP hos patienter med mild OSA?

I en metaanalys från 2014 med 12 studier och 1438 patienter var det klart – patienter med mild OSA är mindre följsamma till sin CPAP-behandling:
Our results suggest that oral appliances should be considered first-line treatment for patients with symptomatic mild to moderate OSA as most patients prefer this treatment to CPAP when both treatments have been shown to be effective.
Referens: Ferguson et.al “A short-term controlled trial of an adjustable oral appliance for the treatment of mild to moderate OSA” Thorax 1997; 52;362-368
In conclusion, the AHI seems to be a predictor for PAP compliance. Patients with mild OSA are less likely to be compliant with PAP therapy.
Reference: American Journal of Therapeutics 21, 260-264 (2014)

Se vad SomnoMed®-patienter har att säga

Varje patient är olika och vi har hjälpt enskilda patienter på deras resa med att hitta en lösning.

Ta reda på vad de gick igenom och hur det känns att använda en SomnoDent® skena.

Patient Historier

Derek’s story

“Before I found my sleep dentist I was sleeping with my CPAP device. This posed several problems for me. Most are the obvious: wearing the CPAP mask, trying to sleep with a hose attached to your face, having to travel with it, and then my allergy issues became more severe.

Maintenance is a pain as well. My SomnoDent® device has allowed me to enjoy life a bit more without the hassle of a CPAP. And, there is the added benefit of not having to make sure I have a source of power available. Which means, I can go camping again! I would recommend the SomnoDent® device to anyone with obstructive sleep apnea. It is life changing.”

- Derek

Izy’s story

For years I fought with my CPAP, I literally tried 15 masks and I will never ever go back to CPAP after discovering SomnoDent®. I love it and so does my family because they can finally sleep in peace.

I can carry it, no more lugging around that extra CPAP baggage, I just throw my SomnoDent® device and case in my backpack and keep going. I truly am a big fan and if I can encourage others to switch to SomnoMed®, I know for a fact their quality of life would improve tremendously. Here’s another thing, I had a problem with grinding my teeth at night, not anymore!

- Izy

Mandy & Al Mermelftein's story

Borris’ story

Although a bit reticent at first in the use of this tool, once I began using it and finding out how good a night’s sleep I could have after so many years of bad nights and untold other alternatives which always proved useless, I am now happy to let you know that thanks to SomnoMed® I am able to sleep very well and also that my wife can now enjoy a good night’s sleep without my racket at night.

- Borris

Susan’s story

“With a household to manage, motherhood, night school for advanced degrees, and two jobs – good sleep seemed an unattainable goal. Over the years of sleep deprivation, my health steadily declined with resultant hypertension, chronic sinusitis, and eventually atrial fibrillation.

I had a sleep study that showed moderate obstructive sleep apnea. A second study to fit a CPAP mask was a dismal failure – 14 different masks and nothing fit.

My dentist suggested a SomnoDent® and my life has turned around since I received it.  My husband is delighted that I no longer snore. I’m off my blood pressure medications. I truly feel like a new person with much more energy. I can’t thank you folks enough for my SomnoDent®. I’m convinced it has literally saved my life.”

- Susan

Shirley's, Jesus' & April's stories