儿童持续性,腺切除术后阻塞性睡眠呼吸暂停的管理:美国胸腔学会官方临床实践指南
American journal of respiratory and critical care medicine
|October 27, 2023
概括
儿童的持续性阻塞性睡眠呼吸暂停 (OSA) 需要在最初的手术后进行进一步的治疗. 本指南为治疗儿童持续儿科OSA的临床医生提供了基于证据的建议.
科学领域:
- 儿科肺病学 儿科肺病学
- 睡眠医学 睡眠医学
- 临床实践指南 临床实践指南
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是儿童普遍存在的睡眠障碍.
- 腺切除术是主要的治疗方法,但多达40%的儿科病例仍然存在.
- 本指南涉及儿童持续性OSA的管理.
研究的目的:
- 提供基于证据的临床实践指南,用于管理持续的儿科阻塞性睡眠呼吸暂停 (OSA).
- 指导临床医生,包括医生,牙医和相关卫生专业人员,治疗持久性OSA的儿童.
主要方法:
- 一个多学科的国际专家小组召开了会议,以解决关键问题.
- 使用推,评估,开发和评估 (GRADE) 方法进行了系统的文献审查.
- 建议考虑了证据质量,益处,风险,患者价值,成本和可行性.
主要成果:
- 对持续性儿科OSA的六种不同的管理选择进行了评估.
- 为每个管理策略制定了基于证据的建议.
结论:
- 该指南为持续的儿科OSA管理提供了建议,承认证据有限,并依赖专家共识.
- 为了推动该领域的发展,为每个建议确定了未来的研究重点.
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