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一个简单的家庭测试,以区分习惯性和病态的口腔呼吸
Ahmed Mohammed Abdelghany1, Ahmed Nabil Elsamanody2
1Otorhinolaryngology Department, Benha University, Egypt.
International journal of pediatric otorhinolaryngology
|September 22, 2023
概括
一个新的家庭测试可以准确地识别儿童的口腔呼吸习惯 (MB). 觉醒时间 (AT) 结果可以帮助诊断这种情况,将其与机械原因区分开来.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 睡眠医学 睡眠医学
- 诊断测试开发 诊断测试开发
背景情况:
- 即使在解决了机械原因后,口腔呼吸 (MB) 仍然是习惯,可能会使治疗结果复杂化.
- 习惯性MB可以掩盖鼻腔呼吸手术干预的有效性.
- 区分习惯性MB和与阻碍相关的MB对于适当的管理至关重要.
研究的目的:
- 开发和验证一种新的家庭测试,用于识别儿童习惯性口腔呼吸.
- 评估新测试的诊断准确性,以区分习惯性MB与其他原因.
主要方法:
- 一项前性观察性研究,涉及208名2至12岁的儿童,有MB病史.
- 一个新的家庭测试测量在睡眠期间的觉醒时间 (AT),父母施加轻轻的压力,以保持孩子的嘴关闭.
- 进行了临床和内镜检查,以确定阻塞的潜在原因.
主要成果:
- 家庭测试显示了高的诊断准确性,截止时间AT<133秒.
- 敏感度为98.5%,特异性为89.7%,用于区分习惯性MB和阻塞相关的MB.
- 该测试成功识别了习惯性MB的儿童,真实阳性率为66.7%,真实阴性率为23.9%.
结论:
- 开发的家庭测试,测量觉醒时间 (AT),是一个可靠的工具,用于初步评估儿童的习惯性夜间口腔呼吸.
- 结果的AT≥133秒与习惯的MB相关.
- 这种测试可以帮助临床医生区分习惯性MB和阻塞相关的病例,指导进一步的管理.
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