儿科睡眠问卷是否对患有复杂慢性疾病的儿童睡眠呼吸障碍敏感?
Mine Kalyoncu1, Nurtuğ Namlı2, Cansu Yilmaz Yegit3
1Division of Pediatric Pulmonology, Marmara University Hospital, Fevzi Cakmak Mah. Mimar Sinan Cad. No:41 Pendik, Istanbul, Turkey. mineeyuksell@gmail.com.
Sleep & breathing = Schlaf & Atmung
|September 21, 2023
概括
儿科睡眠问卷 (PSQ) 在诊断慢性疾病儿童的阻塞性睡眠呼吸暂停 (OSA) 时的准确性有限. 多睡眠学 (PSG) 仍然是睡眠呼吸障碍 (SDB) 的最可靠的诊断方法.
科学领域:
- 儿科肺病学 儿科肺病学
- 睡眠医学 睡眠医学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 睡眠呼吸障碍 (SDB) 包括睡眠期间呼吸不规则.
- 阻塞性睡眠呼吸暂停 (OSA) 是儿童常见的SDB形式.
- 准确诊断OSA对于管理慢性儿童疾病至关重要.
研究的目的:
- 评估儿童的多睡眠学 (PSG) 和儿科睡眠问卷 (PSQ) 之间的关联.
- 确定PSQ的灵敏度和特异性,用于诊断患有慢性疾病的儿科患者的OSA.
主要方法:
- 从745名儿科患者 (2012-2021) 的人口,临床,PSQ和PSG数据的回顾性分析.
- 包括患有慢性肺病和脑的患者.
- 将PSQ结果与PSG确认的OSA诊断进行比较.
主要成果:
- 在2-18岁儿童中,PSQ对OSA的敏感度为71.8%,特异性为40.4%.
- 在脑子组中,PSQ对OSA的敏感度达到88.8%.
- 在研究队列中,近一半 (48.5%) 的PSG发现正常.
结论:
- 该PSQ表现出低于最佳的灵敏度和特异性,用于识别患有慢性疾病的儿童的OSA.
- 多睡眠学 (PSG) 被证实是诊断OSA在这个人群中的黄金标准.
- 进一步的研究可能会探索在复杂的病史中改善儿科OSA查工具.
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