有阻塞性睡眠呼吸暂停的儿童中耳炎的风险增加吗?
Chloe Cottone1, Eunice Im2, Sean Clausen3
1Jacobs School Medicine and Biomedical Sciences at the University at Buffalo, 955 Main St., Buffalo, NY, 14203, USA.
International journal of pediatric otorhinolaryngology
|June 15, 2024
概括
患有阻塞性睡眠呼吸暂停 (OSA) 的儿童中耳炎和相关手术的发生率更高. 像过敏性鼻炎这样的疾病可能会导致儿童患者的OSA和耳部感染.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科睡眠医学 儿科睡眠医学
- 流行病学 流行病学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是儿童中普遍存在的疾病.
- 需要进一步调查OSA和耳鼻喉疾病之间的关联.
- 了解这些联系可以为临床实践和患者的结果提供信息.
研究的目的:
- 为了确定中耳炎和与之相关的儿童中耳炎的患病率.
- 将这些患病率与没有OSA的儿童队列进行比较.
- 确定观察到的差异的潜在贡献因素.
主要方法:
- 在TrinetX.使用美国协作网络进行了一项回顾性队列研究.
- 患者被分为OSA (ICD-10 G47.33) 和非OSA组,倾向性得分与年龄,性别和种族相匹配.
- 他们比较了中耳炎,慢性中耳炎, tympanostomy,腺切除术,桃体切除术,腺切除术和过敏性鼻炎的患病率.
主要成果:
- 患有OSA的儿童出现中耳炎 (1.27倍) 和慢性中耳炎 (3.86倍) 的可能性显著增加.
- 在OSA组中观察到 tympanostomy (3.81x) 和手术如腺切除 (4.1x),桃体切除 (18.2x) 和腺切除 (24.7x) 的增加率.
- 患有OSA的儿童也更有可能患有过敏性鼻炎 (2.03x).
结论:
- 儿科OSA与中耳炎和随后的手术干预的更高发病率有关.
- 在患有OSA的儿童中,过敏性鼻炎和腺体缩的患病率增加可能解释了急性中耳炎 (AOM) 的更高频率.
- 这些发现突显了儿童呼吸道和耳部疾病的相互联系.
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