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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
[Clinical observation on obstructive sleep apnea-hypopnea syndrome cases in snoring children]
1Department of Otorhinolaryngology, Affiliated Nanjing Children's Hospital of Nanjing Medical University, Nanjing, 210008, China.
Insights
Polysomnography (PSG) is essential for diagnosing obstructive sleep apnea hypopnea syndrome (OSAHS) in children who snore. Early PSG monitoring ensures correct treatment and avoids OSAHS complications.
Area of Science:
- Pediatric Sleep Medicine
- Respiratory Medicine
- Diagnostic Tools
Context:
- Snoring in children can indicate underlying sleep-disordered breathing.
- Accurate diagnosis is crucial for effective management.
- Distinguishing between primary snoring and OSAHS is clinically important.
Purpose:
- To evaluate the necessity of polysomnography (PSG) for children presenting with snoring.
- To identify key polysomnographic parameters differentiating sleep apnea from primary snoring.
Summary:
- Polysomnography (PSG) was performed on 162 children with snoring.
- 92.6% were diagnosed with obstructive sleep apnea hypopnea syndrome (OSAHS), while 7.4% had primary snoring (PS).
- Significant differences were observed in apnea-hypopnea index (AHI), snoring index (SI), lowest oxygen saturation (LSaO2), and time with SaO2 < 0.9 between groups.
Impact:
- PSG monitoring is vital for the early and accurate diagnosis of OSAHS in snoring children.
- Timely diagnosis facilitates appropriate treatment, preventing potential adverse outcomes associated with untreated OSAHS.
- This study underscores the clinical utility of PSG in pediatric sleep evaluations.
Objective:
To explore the necessity of monitoring polysomnography (PSG) in snoring children.
Method:
The PSG were monitored in 162 children with snoring or apnea. According to results of PSG, 162 cases were separated into two groups:group obstructive sleep apnea hypopnea syndrome(OSAHS) and group primary snoring (PS), monitoring data including:apnea hypopnea index (AHI), snoring index(SI), lowest oxygen saturation (LSaO2) and time of SaO2 < 0.9, all data were undertaken statistical analysis.
Result:
In all 162 snoring cases,150 cases (92.6%) belong to group OSAHS, 12 cases (7.4%) belong to group PS; Differences of data of age, sex and body mass index (BMI) are not significant but that of AHI, SI, LSaO2 and time of SaO2 < 0.9 are significant (P < 0.05).
Conclusion:
It's necessary to monitor PSG in snoring children for early diagnosis and correct treatment to a void disadvantage of OSAHS.
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