对于严重和非常严重的阻塞性睡眠呼吸暂停综合征的儿科术后结果
Jordyn A Hurly1, Anna Christina Clements1, Marisa A Ryan2
1Department of Otolaryngology, Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A.
The Laryngoscope
|April 6, 2024
概括
严重阻塞性睡眠呼吸暂停综合征 (OSAS),呼吸暂停-呼吸暂停指数 (AHI) 超过40或氧和低于80%,增加了桃体切除术后呼吸道并发症的风险. 对于严重的OSAS并发症需要进一步研究.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 睡眠医学 睡眠医学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 阻塞性睡眠呼吸暂停综合征 (OSAS) 在接受桃体切除术的儿童中很常见.
- 术前评估OSAS严重程度对于预测术后结果至关重要.
研究的目的:
- 基于多睡眠学,评估阻塞性睡眠呼吸暂停综合征严重程度的增加是否能独立预测儿科患者在腺切除术或切除术后的呼吸道并发症和随访护理需求.
主要方法:
- 追溯分析358名患者 (≤21岁) 患有严重的OSAS (呼吸暂停-呼吸暂停指数[AHI]>10),接受了腺切除术或切除术.
- 根据手术前的多睡眠图 (PSG) 数据对患者进行分类.
- 后勤回归和威尔科克森等级总和测试用于分析结果,包括呼吸道并发症和持续正气道压力 (CPAP) 启动.
主要成果:
- 一个AHI>40和氧和度最低点<80%显著与术后呼吸道并发症相关.
- 增加AHI和氧和度<80%与未计划的术后CPAP启动相关.
- 没有发现高心脏率和并发症之间的关联.
结论:
- 非常严重的OSAS (手术前AHI≥40) 可能会增加术后呼吸道并发症的风险.
- 回归分析没有显示增加AHI严重程度和并发症之间的线性关联.
- 需要进一步调查以确定导致严重和非常严重OSAS并发症的因素.
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