透视视镜参数和临床风险因素预测了手术后呼吸道并发症,在儿童接受supraglottoplasty
Sawita Kanavitoon1,2, Pornswan Ngamprasertwong2, Neepa Gurbani3,4
1Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
接受睡眠呼吸暂停术 (SGP) 的儿童,其阻塞性呼吸暂停-呼吸暂停指数 (AHI) 超过10次/小时,面临患上术后呼吸道并发症 (PORC) 的风险更高. 手术前的多睡眠学有助于识别这些风险.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 手术后呼吸道并发症 (PORCs) 是在患有阻塞性睡眠呼吸暂停的儿童中,在进行膜整形术 (SGP) 后的一个担忧.
- 确定PORCs的预测性风险因素对于优化手术结果和患者安全至关重要.
研究的目的:
- 评估在接受SGP的儿童中PORCs的发生率.
- 为了确定临床因素和多睡眠学参数,预测SGP后的PORCs.
主要方法:
- 追溯分析400名患有喉病的儿童接受SGP.
- 对所有参与者进行了手术前多眠学数据分析.
- 统计分析,包括未调整的赔率比率和多重回归,用于确定风险因素.
主要成果:
- 23.1%的患者经历了PORC.
- 患有PORC的儿童患先天性心脏病的比率更高,阻塞性呼吸暂停-呼吸暂停指数 (AHI) 高,氧和度较低 (SpO2).
- 阻塞性AHI>10事件/小时是PORCs的唯一独立预测因素.
结论:
- 经过SGP治疗的喉炎儿童有 PORC 的风险,特别是那些患有先天性心脏病和异常的多睡眠学发现的儿童.
- 阻塞性AHI>10事件/小时显著增加了SGP后PORCs的风险.
- 在手术前的多睡眠记录对于在这种患者群体中进行风险分层和手术规划有价值.
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