在小儿腺切除术后,REM AHI是否预测持续的OSA?
Caroline M Fields1, Nicolas S Poupore1, Jenna H Barengo1
1Department of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.
The Annals of otology, rhinology, and laryngology
|January 23, 2024
概括
术前REM AHI不能可靠地预测腺切除术后儿童的持续性阻塞性睡眠呼吸暂停 (OSA). 需要进一步的研究来指导临床决策关于REM AHI在儿科OSA管理.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 呼吸系统医学 呼吸系统医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 在儿童中很常见.
- 腺切除术是小儿OSA的主要治疗方法.
- 雷姆AHI在预测治疗结果中的作用尚不清楚.
研究的目的:
- 评估在儿童手术前REM AHI和在腺切除术后持久性OSA之间的关联.
- 为了确定REM占主导地位的OSA是否预测治疗失败.
主要方法:
- 对353名为OSA接受腺切除术的儿童进行了回顾性图表审查.
- 排除患有头面部/神经肌肉疾病或气管切割的儿童.
- 对术前和术后多睡眠图的分析,将持久性OSA定义为oAHI≥1.5事件/小时.
主要成果:
- 65.7%的儿童在手术后有持续的OSA.
- 持久性和已解决的OSA组之间在术前REM AHI或相关指标上没有显著差异.
- 在REM占主导地位和REM独立的OSA之间,持续率没有显著差异.
结论:
- 手术前的REM AHI似乎是儿童腺切除术后OSA持久性的不良预测因素.
- 需要进一步的研究来澄清REM AHI在治疗儿科OSA的临床效用.
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