The Sleep Position Trainer And Oral Appliance For The Treatment Of Positional OSA Based On The Follow-up Management Of Cloud Platform

Objective: To investigate the effects of sleep position trainer,oral appliance and sleep position trainer combined with oral appliance on positional OSA patients and the application value of cloud platform in the whole course of treatment follow-up.Methods:30 patients diagnosed with positional OSA by standard polysomnography(from May 2019 to December 2019)were randomly divided into three groups: 10 patients in sleep position therapy group(SPT),10 patients in oral appliance group(OAT)and 10 patients in combination therapy group(SPT + OAT).After the treatment for 1 month,we used cloud platform to follow up and recheck.Results: In the first week,there was a significant difference in the compliance among the three groups(P<0.05).According to the feedback from the cloud platform,we tracked and guided the subjects with poor compliance.After 2 weeks and 1 month,there was no significant difference in the compliance among the three groups(P>0.05).After 1month of treatment,the PSG showed that SPT,OAT and SOT were all effective,which could improve the AHI and increase the minimum blood oxygen saturation(LSa O2)(P<0.01).The AHI decline rate of SOT group was significantly better than those of OAT group and SPT group(P<0.05).But there was no significant difference in the AHI decline rate between the OAT group and the SPT group(P>0.05).The rising value of LSa O2 of SPT group was the lowest(P<0.05).There was no significant difference in the rising value of LSa O2 between the OAT group and the SOT group(P>0.05).After the treatment,Epworth sleepiness score and Quebec score showed improvement in sleepiness symptoms and quality of life,the difference was statistically significant(P<0.01).There was no significant difference in Epworth sleepiness score and Quebec score among the three group(P>0.05).The difference of total effective rate was statistically significant(P<0.05).The total effective rate of SOT group was the best.Conclusions: Through the preliminary randomized controlled study,we found that the sleep position trainers and oral appliances were effective for POSA,and the combination of the two was better.Close follow-up based on the cloud platform technology was feasible which might improve the compliance of the treatment of sleep position trainers and oral appliances.The long-term efficacy and compliance of the sleep position trainers,the oral appliances and the combination of the two in the treatment of POSA required further study.