睡眠障碍的风险评估 裂口口唇和/或口的呼吸
Alec H Fisher1, Luke Stanisce2, Zach J Nelson3
1Division of Plastic Surgery, Cooper University Health Care, Camden, NJ, USA.
概括
在患有唇裂和/或 palatal cleft (CL/P) 的儿童中,针对睡眠呼吸障碍 (SDB) 的儿科查发现了阻塞性睡眠呼吸暂停 (OSA) 的高率. 在这个人群中,三级牙闭塞和尾回退与SDB有关.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 头骨面部异常 头骨面部异常
- 呼吸系统疾病 呼吸系统疾病
背景情况:
- 患有唇裂和/或裂 (CL/P) 的儿童面临睡眠呼吸障碍 (SDB) 的高风险,包括阻塞性睡眠呼吸暂停 (OSA).
- 在这个脆弱的儿科群体中,对SDB的常规查至关重要.
研究的目的:
- 在患有CL/P的儿童中使用Chevrin儿科睡眠问卷 (PSQ) 审核SDB查结果.
- 在非综合征性CL/P患者中确定SDB的预测因子.
主要方法:
- 在36个月内对239名非综合征性CL/P患者进行了回顾性分析.
- 统变逻辑回归评估了SDB的预测指标 (PSQ分数>8).
- 跟踪了查和随后的多睡眠图 (PSG) 的结果.
主要成果:
- 18%的患者 (43/239) 的PSQ得分为阳性.
- 阳性PSQ与III级牙闭塞和大回退 (OR=2.65) 相关.
- 84%完成PSG (21/25) 的患者被诊断出患有OSA.
结论:
- 常规的SDB查有效地识别了患有CL/P的儿童有OSA风险.
- 第三类牙闭塞和大后退是这个群体中SDB的重要指标.
- 高水平的OSA患病率需要在CL/P患者中进行进一步的研究和治疗.
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