阻塞性睡眠呼吸暂停和儿童尿尿失禁之间的关系:当前的观点和超越
Zhan Wang1, Pengpeng Zhang2, Run Shi3
1Pediatric Urodynamic Center, Department of Urology, The First Affiliated Hospital of Zhengzhou University, Henan Joint International Pediatric Urodynamic Laboratory, Zhengzhou, 450052, People's Republic of China.
Nature and science of sleep
|February 10, 2025
概括
在儿童中,阻塞性睡眠呼吸暂停 (OSA) 和夜间尿泡 (NE) 有着双向的关系. 腺切除术显示出治疗共存的OSA和NE的前景,但需要进一步的研究.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 夜间尿尿症 (NE) 和阻塞性睡眠呼吸暂停 (OSA) 是普遍存在的儿童疾病,可能导致严重的心理社会问题.
- NE和OSA的同时发生对儿童的整体健康产生不利影响,但直接的因果关系和潜在机制仍然不完全理解.
- 在NE儿童中治疗OSA的疗效是正在进行的辩论的主题.
研究的目的:
- 审查儿科人口中NE和OSA之间的复杂关系.
- 探索将OSA与NE联系起来的潜在的致病机制.
- 评估当前治疗策略,以管理儿童共存的NE和OSA.
主要方法:
- 使用PubMed数据库进行了全面的文献搜索.
- 包括的研究重点是OSA和NE之间的关联,以及在OSA的背景下对儿科NE的治疗方法.
- 收集了处理机制和治疗策略的原始出版物.
主要成果:
- 在儿童中存在OSA和NE之间的双向关联,NE发病率与OSA患病率一起上升.
- 患有OSA的儿童可能会由于包括荷尔蒙失衡,睡眠障碍,膀功能障碍,肥胖和心理影响在内的因素而发展NE.
- 腺切除术 (AT) 似乎是患有OSA和NE的儿童的潜在有效治疗方法,而正气道压力 (PAP) 治疗的作用需要进一步研究.
结论:
- NE和OSA的并发症显著影响儿童的身体和精神健康.
- 腺切除术 (AT) 对患有OSA和NE的儿童提供了潜在的好处.
- 多学科评估和进一步研究儿童OSA与NE的机制和治疗方法至关重要.
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