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药物诱导的睡眠内镜预测了腺切除术的主观结果

Derek J Lam¹, Andrea Hildebrand², Thuan Nguyen²

¹Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon, U.S.A.

The Laryngoscope

|August 21, 2024

概括

在腺切除术 (AT) 后持续阻塞性睡眠呼吸暂停 (OSA) 是常见的. 药物诱导睡眠内镜 (DISE) 可以预测结果,肥胖,男性性别和多层次阻塞表明结果较差.

科学领域:

儿科耳鼻喉科儿科耳鼻喉科
睡眠医学睡眠医学
手术结果研究研究.

背景情况:

持久性阻塞性睡眠呼吸暂停 (OSA) 影响20-30%的儿童在腺切除术 (AT) 后.
确定治疗成功的预测因素对于管理儿科睡眠呼吸障碍 (SDB) 至关重要.
药物诱导睡眠内镜 (DISE) 评估睡眠期间的呼吸道崩.

研究的目的:

评估在AT期间执行的DISE对主观结果的预测能力.
为了确定与儿童在AT后持续的OSA症状相关的因素.

主要方法:

194名儿童 (2-18岁) 接受SDB的AT的前性队列研究.
包括有AT衰竭的危险因素 (例如,年龄大于7岁,肥胖,严重的OSA) 的儿童.
DISE与AT同时进行;多变量回归分析了AT后PSQ和OSA-18分数的预测因素.

主要成果:

在AT后观察到儿科睡眠问卷 (PSQ) 和OSA-18分数的显著改善 (p < 0.001).
最常见的阻塞部位包括桃体,鼻呼吸道,腺体和鼻.
更糟糕的主观结果与肥胖,男性性别和多层次阻塞 (鼻腔气道,舌头底部,腺) 有关.

结论:

持久性OSA和症状负担仍然是AT后风险儿童的常见挑战.
DISE的发现,特别是涉及鼻气道和舌头底部的多层次阻塞,预测主观结果较差.
肥胖和男性性别也是AT后结果更差的重要预测因素.

关键词:

阻塞性睡眠呼吸暂停 (SOP) 的情况.儿科儿科儿科儿科阻塞性睡眠呼吸暂停的手术治疗.

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