腺体缩和临床参数与儿科患者进行腺体切除术的术前伪造术的相关性
Alexander Lein1, Hasan Altumbabic2, Miralem Đešević3
1Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
概括
腺-门比率和临床症状是3至14岁儿童阻塞性睡眠呼吸暂停 (OSAS) 严重程度的可靠预测指标. 仅仅临床症状就能预测学龄儿童的OSAS严重程度.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 睡眠医学 睡眠医学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 腺囊缩是儿科阻塞性睡眠呼吸暂停 (OSAS) 的主要原因.
- 评估状腺缩可能具有挑战性,通常依靠临床症状进行手术指示.
- 有限的数据存在于与OSAS严重程度相关的临床因素在接受腺切除术的儿童.
研究的目的:
- 评估患者特征,腺增大和临床症状与OSAS严重程度之间的关系.
- 为了确定在被考虑进行腺切除术的儿科患者中OSAS严重程度的预测因素.
主要方法:
- 为诊断OSAS而接受多重检测 (PG) 的儿科患者的回顾性图表审查 (2018-2023).
- 腺体缩通过腺体关比 (AC比) 评估;通过标准化得分 (CS) 评估临床症状.
- 线性回归分析用于将AC比率,CS和BMI与呼吸暂停-呼吸暂停指数 (AHI) 相关联.
主要成果:
- 在CS和BMI (p=0.026) 和CS和AC比率 (p<0.001) 之间发现了显著的相关性.
- 在总和学前班组的单变量和多变量分析中,AC比率和CS都与AHI显著相关.
- 在学龄组中,CS仍然是AHI的唯一显著预测因子.
结论:
- 腺体-门比率和临床症状是3至14岁儿童OSAS严重程度的有效预测指标.
- 临床症状是老年儿童 (学校队列) OSAS严重程度的主要预测因素.
- 建议进行进一步的研究以验证这些发现.
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