在长期腺切除术后患有持续打的儿童中,快速膜扩张后行为和认知能力的变化:一项非受控研究
Rita Catia Brás Bariani1, Renato Bigliazzi2, Mariana Gobbo Medda3
1Department of Otorhinolaryngology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.
概括
快速大扩张 (RME) 改善了在腺切除术后耐性睡眠呼吸障碍 (SDB) 的儿童的生活质量和行为方面. 在阻塞性睡眠呼吸暂停 (OSA) 患者中,除视觉空间功能外,认知功能没有显著变化.
科学领域:
- 儿科牙科 儿科牙科
- 睡眠医学 睡眠医学
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 儿童的睡眠呼吸障碍 (SDB) 可以影响行为和认知.
- 腺切除术是SDB的主要治疗方法,但有些病例是耐火的.
- 大横向缺陷与SDB相关,可能受益于骨科干预.
研究的目的:
- 为了评估长期的行为和认知变化后快速大扩张 (RME) 在儿童的SDB耐火性腺切除术.
- 评估RME对儿科SDB患者生活质量的影响.
主要方法:
- 潜在的临床试验涉及24名儿童 (年龄为5-12岁),在腺切除术后患有持续的SDB.
- 参与者接受了RME治疗.
- 评估包括多睡眠学,问卷 (阻断性儿科睡眠问卷,OSA18项生活质量) 和神经认知/行为测试 (儿童行为检查清单).
主要成果:
- 在RME后 (P < 0.001) 的生活质量得分 (阻塞性儿科睡眠问卷,OSA 18项 QoL) 中观察到显著的改善.
- 在阻塞性睡眠呼吸暂停 (OSA) 组",人体"和"攻击性"行为领域显著下降 (P <0.05).
- 认知功能基本保持不变,在OSA组视觉空间功能显著改善.
结论:
- 快速上扩张 (RME) 可能改善儿童的生活质量和行为障碍SDB耐药性腺切除术.
- 需要对更大的样本大小和对照组进行进一步的研究,以确认RME的疗效.
- 对于SDB的治疗决定应该考虑症状,行为问题和呼吸暂停-呼吸暂停指数之间的相互作用.
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