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儿科睡眠内镜的临床应用:一项国际调查

Giannicola Iannella¹, Giuseppe Magliulo¹, Antonio Greco¹

¹Department of Organi di Senso, Sapienza University, 00185 Rome, Italy.

Children (Basel, Switzerland)

|January 23, 2024

概括

药物诱导睡眠内镜 (DISE) 是诊断儿童阻塞性睡眠呼吸暂停 (OSA) 的安全有效工具,特别是在手术后. 然而,其临床应用在国际睡眠中心之间存在显著差异.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
儿科睡眠医学儿科睡眠医学
诊断程序诊断程序诊断程序

背景情况:

阻塞性睡眠呼吸暂停 (OSA) 是儿童常见的疾病.
药物诱导睡眠内镜 (DISE) 有助于识别气道阻塞.
缺乏对儿科 DISE 协议的标准化.

研究的目的:

调查国际专家关于儿科DISE的临床应用.
为了澄清儿科DISE的使用,指示和协议.
评估DISE在儿童OSA管理中的感知作用.

主要方法:

一项国际调查是由儿童睡眠呼吸暂停专家开发的.
该调查针对的是睡眠呼吸暂停专家和OSA协会成员.
101名专家完成了调查,提供了有关儿科DISE实践的数据.

主要成果:

63.4%的专家在儿童OSA患者中进行DISE.
81.9%的人认为DISE是持续性OSA后腺切除术的第一线诊断步骤.
55.4%的人不同意在腺切除术期间进行DISE以确定其他崩部位.

结论:

儿科DISE被认为是安全有效的,用于识别残留OSA儿童的阻塞部位.
DISE对患有面形,小桃体,喉膜或唐氏综合征的儿童有价值.
尽管它很有用,但儿童DISE在全球的睡眠中心中并没有得到一致的采用.

关键词:

药物诱导的睡眠内镜检查阻塞性睡眠呼吸暂停症是什么儿科的疾病.儿科的OSA是儿童的OSA.

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