儿童腺切除术后持续阻塞性睡眠呼吸暂停
Ola Alhalabi1, Amal R Al-Naimi1, Faisal Abdulkader2
1Pediatric Pulmonology, Sidra Medicine, Doha, QAT.
Cureus
|August 5, 2024
概括
持续性阻塞性睡眠呼吸暂停 (POSA) 影响了154%的腺切除术后的儿童,特别是那些患有遗传综合征和过敏性鼻炎的儿童. 识别这些风险因素对于更好的儿科睡眠呼吸暂停管理至关重要.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 睡眠医学 睡眠医学
- 儿科肺病学 儿科肺病学
背景情况:
- 儿童阻塞性睡眠呼吸暂停 (OSA) 通常用腺切除术来治疗.
- 持久性OSA (POSA) 仍然是手术后的一小部分儿科患者的挑战.
研究的目的:
- 为了确定卡塔尔儿童中POSA的患病率.
- 为了确定与POSA相关的风险因素.
- 为了探索POSA的治疗结果.
主要方法:
- 对1至18岁接受腺切除术的患者病历的回顾性审查.
- 数据收集包括人口统计,临床病史和多睡眠学 (PSG).
- 由持续症状或术后OSA诊断定义的POSA;通过回归计算患病率和分析风险因素.
主要成果:
- 在410名儿童 (平均年龄为3.6岁) 进行了腺切除术.
- 估计POSA患病率为15.4% (52名患者).
- 重要的危险因素包括年轻,喘,过敏性鼻炎,GERD和遗传综合征;综合征性疾病和过敏性鼻炎显示出强烈的相关性.
结论:
- 在腺切除术后的儿童中,POSA是一种显著的疾病.
- 遗传综合征和过敏性鼻炎是持续性儿科OSA的关键风险因素.
- 需要进一步研究基于证据的POSA诊断和治疗策略.
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