用于预测婴儿阻塞性睡眠呼吸暂停的气体交换参数
Romane Gyapay1, Iulia Ioan2, Marine Thieux3,4
1Service de Pneumologie Infantile, Allergologie et Centre De Référence En Mucoviscidose, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France.
概括
氧度测试可以帮助选严重阻塞性睡眠呼吸暂停 (OSA) 在婴儿时,当多睡眠学是不可用的. 通过皮肤进行的图是不够的预测严重的OSA在这个人群.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 呼吸系统生理学 呼吸系统生理学
- 诊断工具评估 诊断工具评估
背景情况:
- 多睡眠学 (PSG) 是诊断婴儿阻塞性睡眠呼吸暂停 (OSA) 的黄金标准,但其可访问性有限.
- 氧度测量-吸管测量提供了一个更简单的替代方案,测量脱和低通风,但其对婴儿OSA严重程度的诊断可靠性仍有争议.
研究的目的:
- 评估氧度测量 - 图在确定婴儿阻塞性睡眠呼吸暂停 (OSA) 严重程度的实用性.
- 评估气体交换参数在预测婴儿严重OSA方面的有效性.
主要方法:
- 在第三级医院睡眠单元进行的回顾性研究.
- 包括4个月以下的婴儿,有临床OSA症状或皮埃尔·罗宾序列.
- 婴儿接受了夜间的多睡眠图 (PSG) 与氧度测量-图相结合.
主要成果:
- 包括78名婴儿;63.5%患有严重的OSA (呼吸暂停-呼吸暂停指数>10次/小时).
- 预测严重的OSA的最佳值被确定为氧气不和指数 (ODI) ≥3%和≥4%.
- 通过皮肤进行的光学 (PtcCO2) 不足以预测严重的OSA.
结论:
- 氧度测量可以作为一个实际的查工具,用于严重的OSA在婴儿时PSG是不可行的.
- 单单通过皮肤进行的镜检查不足以预测婴儿群体中严重的OSA.
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