越南儿童注意力缺陷多动性障碍 (ADHD) 阻断性睡眠呼吸暂停的患病率
Mai Nguyen-Thi-Phuong1,2, Mai Nguyen-Thi-Thanh1, Thuy Nguyen-Thi-Dieu1
1Department of Pediatric, Hanoi Medical University, Hanoi, Vietnam.
Pulmonary therapy
|January 14, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 影响近四分之一的儿童注意力缺陷多动症 (ADHD). 对OSA进行查至关重要,因为它可以加剧ADHD症状,并与睡眠障碍有关.
科学领域:
- 儿科肺病学 儿科肺病学
- 儿童神经学 儿童神经学
- 睡眠医学 睡眠医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是诊断为注意力缺陷多动症障碍 (ADHD) 的儿童中普遍存在的疾病.
- 了解OSA和ADHD之间的关系对于有效的儿科卫生保健至关重要.
- 这项研究调查了ADHD儿童OSA的患病率和临床影响.
研究的目的:
- 为了确定儿童ADHD队列中OSA的患病率.
- 为了比较患有ADHD和OSA (ADHD-OSA) 的儿童与没有OSA (ADHD-nonOSA) 的ADHD儿童之间的临床特征.
- 为了确定OSA严重程度和ADHD症状严重程度之间的相关性.
主要方法:
- 一项涉及524名ADHD儿童 (6-12岁) 的横截面研究.
- 呼吸道测谎仪用于诊断OSA并确定其流行率.
- 范德比尔特ADHD家长诊断评分表 (VADPRS) 评估了ADHD症状严重程度,而呼吸暂停-呼吸暂停指数 (AHI) 量化了OSA严重程度.
主要成果:
- 患有多动症儿童中OSA的患病率为23.3%,大多数病例为中度至重度.
- 在ADHD-OSA和ADHD-nonOSA组之间发现了睡眠开始,持续时间和行为 (例如,睡前抵抗,早晨醒来) 的显著差异 (p < 0.001).
- 较高的注意力不集中,过度活动和行为障碍得分与中度至重度的OSA和较高的AHI (p < 0.001) 有显著的相关性.
结论:
- 在患有ADHD的儿童中,OSA很常见,可能会加剧ADHD的症状.
- 在儿童多动症综合管理中,对OSA进行查至关重要.
- 解决OSA可能会改善ADHD管理和相关睡眠障碍.
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