腺切除术对中央睡眠呼吸暂停的影响:一个范围审查
Dana Eitan1, Taylor Cave2, Patrick Scheffler3
1Creighton University School of Medicine, Phoenix, AZ, USA.
International journal of pediatric otorhinolaryngology
|January 23, 2024
概括
腺切除术显著改善了阻塞性睡眠呼吸暂停 (OSA) 的儿童的中央睡眠呼吸暂停 (CSA). 该程序甚至可以解决大多数儿科患者的CSA,突出其治疗潜力.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 睡眠医学 睡眠医学
- 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.
- 中央睡眠呼吸暂停 (CSA) 可以与OSA并存.
- 腺切除术对儿科CSA的影响需要进一步澄清.
研究的目的:
- 评估腺切除术 (A&T) 在诊断为阻塞性睡眠呼吸暂停 (OSA) 的儿科患者中减少中心睡眠暂停 (CSA) 的疗效.
主要方法:
- 使用PubMed数据库进行了全面的文献搜索.
- 两个独立的研究人员选了相关的前性研究和案例系列.
- 纳入标准集中在儿童患者 (≤18岁) 接受OSA的A&T,具有手术前和术后的中央呼吸暂停指数 (CAI) 数据.
主要成果:
- 在对107篇文章进行初步审查后,包括了15项研究.
- 所有包括的研究都报告了腺切除术后CAI的显著改善.
- 在两项研究中,在66.7%和73.7%的患者中观察到CSA解消,而在其他研究中,CAI的减少范围从40.9%到93%.
结论:
- 腺切除术是一种有效的治疗方法,可以改善儿科患者的中央睡眠呼吸暂停,同时患有阻塞性睡眠呼吸暂停.
- 在大量受影响的儿童和青少年中,A&T可以导致CSA的解决.
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