在怀疑OSA的儿童中,临床参数和PSQ之间的相关性
Laura Jelušić1, Hrvoje Vidić2, Andrijana Včeva3
1Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, J. Huttlera 4, 31 000, Osijek, Croatia.
International journal of pediatric otorhinolaryngology
|October 3, 2024
概括
低体重和BMI是患有阻塞性睡眠呼吸暂停 (OSA) 的重要危险因素,在接受腺切除术的儿童中. 桃体大小和Mallampati评分没有显示与OSA风险相关的显著差异.
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
- 阻塞性睡眠呼吸暂停研究
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是儿童的重大健康问题.
- 桃体和腺的扩大是小儿OSA的常见原因.
- 对OSA的预测性临床因素需要进一步调查.
研究的目的:
- 为了评估桃体和腺体大小之间的相关性,修改了Mallampati得分,BMI和儿童的OSA风险.
- 将临床发现与儿童睡眠问卷 (PSQ) 进行比较,以评估OSA风险.
- 为了确定儿童患者OSA的显著风险因素,适用于腺切除术.
主要方法:
- 临床检查包括桃体/腺体大小评估和修改的Mallampati分数.
- 身体质量指数 (BMI) 的计算和百分位数的确定.
- 使用PSQ将75名儿科受试者 (2-18岁) 分类为高/低OSA风险组.
主要成果:
- 60%的受试者通过PSQ被确定为OSA的高风险.
- 患有OSA高风险的儿童体重和BMI显著降低.
- 对于桃体/腺体大小或修改的Mallampati得分,与OSA风险相关,没有发现统计学上显著的差异.
结论:
- 较低的体重和BMI是儿童OSA的重要危险因素.
- 桃体和腺体大小,以及修改后的马兰帕蒂评分,并不是这一队列中OSA风险的显著预测因素.
- 临床评估应考虑BMI以及儿童OSA风险分层的传统指标.
相关概念视频
Special considerations while measuring oxygen saturation
1.0K
Assessing respiratory rate concurrently with pulse measurement is fundamental to patient care, providing valuable insights into the patient's respiratory function. The normal breathing rate for an adult usually falls within a normal range of 12 to 20 breaths per minute. Abnormal respiratory rates can signal underlying health conditions or the need for immediate intervention.
Ensuring accuracy in vital sign recordings while prioritizing patient comfort and minimizing anxiety is...
Ensuring accuracy in vital sign recordings while prioritizing patient comfort and minimizing anxiety is...
1.0K
Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.8K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.8K
Physical Assessment of the Respiratory Tract I: Health History
1.4K
Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
1.4K
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
3.4K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
3.4K
Sleep Apnea
920
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
920
Asthma III: Clinical Manifestations
73
Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
73


