在日本的小学生中打,阻塞性睡眠呼吸暂停和上呼吸道感染
Takayuki Kitazawa1, Hiroo Wada1, Keisuke Onuki1
1Department of Public Health, Juntendo University Graduate School of Medicine, 2-1-1 Hongo Bunkyo-Ku, Tokyo, 113-8421, Japan.
Sleep & breathing = Schlaf & Atmung
|October 14, 2023
概括
经常打或有中度至重度阻塞性睡眠呼吸暂停 (OSA) 的儿童更有可能患上呼吸道感染 (URTI). 这项研究强调了睡眠呼吸障碍与幼儿尿道感染之间的联系.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 呼吸系统医学 呼吸系统医学
- 流行病学 流行病学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 和上呼吸道感染 (URTI) 影响呼吸系统,可能是相关的.
- 关于儿童OSA和URTI之间的联系的研究是有限的.
- 了解这种联系对于儿科呼吸系统健康至关重要.
研究的目的:
- 研究在小学儿童中打,OSA严重程度和URTI之间的关联.
- 为了确定打频率和强度是否与增加的URTI风险相关.
- 探索客观的OSA措施与URTI发病率之间的关系.
主要方法:
- 一项涉及日本653名小学儿童 (一,二年级) 的横截面研究.
- 父母问卷收集了关于睡眠习惯,尿路感染史和OSA风险的数据.
- 一夜间的气管声音记录估计了呼吸暂停-呼吸暂停指数 (AHI);使用了多变量后勤分析.
主要成果:
- 与不打儿童相比,每周打5晚以上的儿童患URTI (2.82) 的几率比率 (OR) 显著更高.
- 更大声的打,主观和客观,与URTI有显著的关联.
- 患有AHI≥2.0事件/小时的儿童,比患有AHI<1.0事件/小时的儿童,对URTI有更高的OR (2.65).
结论:
- 通过气管声音记录评估的打和OSA严重程度与儿童中URTI易感性增加有关.
- 研究结果表明,睡眠呼吸障碍可能使儿童易患呼吸道感染.
- 早期识别和治疗打和OSA可能会降低儿科人口中URTI的频率.
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