The Clinical Research Of Obstructive Sleep Apnea Hypopnea Syndrome Patient’s Psychological State Changes Before And After Treatment With An Self-adjustable Oral Appliance

Objective: To study the Psychological state of obstructive sleep apneahypopnea syndrome patients and the Effect of Self-adjustable oral appliancetreatment,and to study the correlation between self-rating scale(SCL-90)and theresult of the polysomnography (PSG) examination.Methods:44patients were diagnosed mild, moderate OSAHS monitored byPSG， use SCL-90to analyze and contrast psychological state before and aftertreated with an Self-adjustable oral appliance,and conducting mean comparison,paired t-test, two-sample t-test and Pearson correlation analysis on the informationobtained.Results: The changes of mild and moderate patients’ apnea hyponeaindex(AHI), lowest blood oxygen saturation(LSaO2), and SCL-90questionnairescores between a week before and the three months following wearingSelf-adjustable oral appliances are of statistical significance (P<0.01); theobjective response rate of the treatment with Self-adjustable oral appliances is84.09%, The scores of somatization， enforcement， interpersonal sensitivity，depression，anxiety，Terror，paranoia，psychoticism of SCL-90in OSAHS werehigher than average scores in China(P<0.01). The somatization， enforcement，interpersonal sensitivity， depression， anxiety， Terror， psychoticism scoresobviously decreased after treatments druing theree month(P<0.01).Conclusion: Wearing Self-adjustable oral appliances has positive objective curative effects on OSAHS. OSAHS patients are more anxious and depressive thannormal. After treatment with Self-adjustable oral appliance is psychological stateare obviously improved.