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ортодонтических患者睡眠呼吸障碍的风险:儿童和青少年之间的比较
Patrícia Jost1, Ana Lurdes Conte2, Adriana de Oliveira Lira2
1Department of Orthodontics, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil.
European journal of orthodontics
|September 17, 2024
概括
接受正牙治疗的儿童,特别是在开始或快速扩张 (RME) 之前接受正牙治疗的儿童,面临着更高的睡眠呼吸障碍 (SDB) 风险. 年轻的患者也更容易感染SDB.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 矯正牙科 矯正牙科是一種矯正牙科.
- 呼吸系统健康 呼吸系统健康
背景情况:
- 睡眠呼吸障碍 (SDB) 是儿童的重大健康问题.
- ортодонтическое治疗可能会影响或受到SDB的影响.
- 在儿科患者中对SDB的查至关重要.
研究的目的:
- 评估正牙患者中SDB风险的流行率.
- 确定年龄,性别和正牙干预对SDB风险的影响.
- 使用儿科睡眠问卷 (PSQ) 进行风险评估.
主要方法:
- 一组245名患者 (5-18岁) 参与了这项研究.
- 父母填写了22项的儿科睡眠问卷 (PSQ).
- 后勤回归分析了SDB风险,年龄,性别,BMI和正牙治疗 (包括RME) 之间的关联.
主要成果:
- 样本中34.3%的人表现出SDB的高风险.
- 年龄较小 (OR=1.889),正牙前治疗 (OR=3.754) 和快速上扩张 (RME) (OR=4.157) 与高SDB风险显著相关.
- 在SDB风险,性别或BMI之间没有发现显著的关联.
结论:
- 与青少年相比,儿童患高SDB风险的概率 (1.8倍) 更高.
- 在治疗前阶段的正义牙科患者和接受RME的患者存在SDB的重大风险.
- 进一步的研究应该纳入耳鼻喉病史,以进行全面的评估.
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