儿童阻塞性睡眠呼吸暂停的医疗治疗方法
Almala Pinar Ergenekon1, Yasemin Gokdemir1, Refika Ersu2
1Division of Pediatric Pulmonology, Marmara University, 34890 Istanbul, Turkey.
Journal of clinical medicine
|August 12, 2023
概括
阻塞性睡眠呼吸暂停 (OSA) 影响1-4%的儿童,并且可能在手术后持续存在. 本综述总结了儿童OSA的医疗治疗方法,当手术不是一种选择或失败时.
科学领域:
- 儿科 儿科 儿科
- 睡眠医学 睡眠医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 涉及反复复发的上呼吸道阻塞,影响1-4%的2-8岁儿童.
- 儿童OSA患病率正在增加,与肥胖率上升有关.
- 持久性OSA甚至在健康的儿童中也可能发生,需要医疗干预.
研究的目的:
- 审查和总结儿童阻塞性睡眠呼吸暂停的可用医疗治疗选择.
- 为儿童OSA提供非手术管理策略的概述.
主要方法:
- 对儿科阻塞性睡眠呼吸暂停的医疗治疗选择的文献综述.
- 综合有关药理和非药理干预的现有证据.
主要成果:
- 阳性气道压力 (PAP) 疗法对儿童持续性OSA非常有效.
- 在儿童中,坚持PAP治疗可能是一个重大的挑战.
- 当腺切除术是禁忌或无效时,医疗管理至关重要.
结论:
- 医疗治疗对于治疗儿科阻塞性睡眠呼吸暂停至关重要,特别是当手术不可行或不成功时.
- 解决坚持障碍是优化治疗效果的关键,例如PAP治疗.
- 对儿童OSA的新和增强坚持性的医疗干预措施进行进一步的研究是有必要的.
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