儿童睡眠障碍呼吸的洞察:探索风险因素,手术干预以及随访时的身体和学术表现
Marco Zaffanello1, Angelo Pietrobelli1, Leonardo Zoccante2
1Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, 37129 Verona, Italy.
Children (Basel, Switzerland)
|April 27, 2024
概括
怀孕和早产期间母亲吸烟与儿科睡眠呼吸障碍 (SDB) 有关. 改善的学术和身体成绩与手术后减少的SDB症状相关.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 睡眠呼吸障碍 (SDB) 是儿童日益关注的问题,通常与桃体和腺体缩有关.
- 腺切除术和桃体切除术是儿科SDB的主要治疗方法.
- 识别风险和保护因素对于儿童手术患者的SDB管理至关重要.
研究的目的:
- 为了调查患有SDB的儿童接受腺或腺手术的风险和保护因素.
- 探索这些儿科患者的神经心理特征的差异.
- 分析手术对SDB和生活质量的影响.
主要方法:
- 观察性,回顾性队列研究设计.
- 通过临床病史审查,手术前检查和电话问卷收集的数据.
- 使用了儿科睡眠问卷 (PSQ) 和儿科生活质量清单 (PedsQL).
主要成果:
- 怀孕期间母亲吸烟在患有SDB的儿童中更为普遍.
- 在SDB的儿童中,使用软管的频率较低.
- 改善的身体和学术成绩与手术后PSQ得分降低相关 (分别为p=0.051和p<0.001).
- 在接受腺切除术的患者中,早产和剖腹产更为频繁.
结论:
- 母亲吸烟和出生史 (早产,剖腹产) 与儿科SDB有关.
- 对SDB的手术干预可能会对生活质量产生积极影响,学术和身体成绩的改善表明了这一点.
- 进一步研究神经心理学概况和全面的风险因素分析是有必要的.
相关概念视频
Sleep Apnea
148
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
148
Physical Assessment of the Respiratory Tract II: Inspection
284
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
284
Assessment of Airway, Skin Color, and Use of Accessory Muscles
994
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
994
Respiratory System Abnormal Finding I: Inspection and Percussion
263
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
263
Insufficient Sleep and Sleep Deprivation
140
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
140
Other Pulmonary Disorders
836
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
836


