在患有喘的儿童中,睡眠呼吸障碍和喘控制不良的危险因素
Minghui Tao1, Yanping Zhang2, Ling Ding3
1Chongqing University FuLing Hospital, No.2 Gaosuntang Road, Fuling District, Chongqing, 408000, P.R. China.
BMC pediatrics
|April 30, 2024
概括
患有喘的儿童睡眠呼吸障碍 (SDB) 与过敏性鼻炎,桃体炎和逆流有关. SDB和不定期服用药物是导致喘控制不良的危险因素.
科学领域:
- 儿科肺病学 儿科肺病学
- 睡眠医学 睡眠医学
- 喘研究 喘研究
背景情况:
- 睡眠呼吸障碍 (SDB) 是儿童群体中喘管理不足的潜在贡献者.
- 识别SDB风险因素及其对喘控制的影响对于有效的治疗策略至关重要.
研究的目的:
- 确定患有喘的儿童中与SDB相关的风险因素.
- 评估SDB对该队列中喘控制水平的影响.
主要方法:
- 从2020年6月到2021年8月,对397名喘儿童进行了一项横截面研究.
- 数据收集包括经过验证的问卷:儿科睡眠问卷-睡眠相关呼吸障碍,儿童喘控制测试和儿童呼吸和喘控制测试.
主要成果:
- 患有喘的儿童中SDB的患病率为21.6%.
- 确定了SDB的危险因素包括过敏性鼻炎,慢性桃体炎,胃食道逆流,腺体缩,复发性呼吸道感染和家族史上的打.
- 在19.6%的参与者中观察到喘控制不良,SDB和不规则的药物使用被确定为显著的风险因素.
结论:
- 过敏性鼻炎,慢性桃体炎,胃食道逆流,腺体缩,复发性呼吸道感染和家族史上的打是患有喘儿童SDB的独立危险因素.
- SDB和不一致的药物坚持是这种人群中喘控制不良的独立风险因素.
相关概念视频
01:29Asthma-I: Introduction
2.6K
Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
2.6K
01:24Asthma-III: Symptoms and Complications
2.5K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
2.5K
01:26Asthma-II: Pathophysiology and Classification
2.6K
Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
2.6K
01:17Other 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
01:20Asthma: Pathogenesis and Management
390
Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
390
01:30Asthma-IV: Diagnostic and Management
2.5K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K