严重肥胖和儿科阻塞性呼吸暂停之间的关联 - 一个回顾性的案例系列
Tyler A Durham1, Basir S Mansoor1, Stephen R Chorney1,2
1Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
严重肥胖的儿童患重症儿科阻塞性睡眠呼吸暂停 (OSA) 的风险明显更高. 这种情况也增加了手术后残留OSA的可能性.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 肥胖问题研究研究
- 呼吸系统健康 呼吸系统健康
背景情况:
- 儿童阻塞性睡眠呼吸暂停 (OSA) 是一个重大的健康问题.
- 肥胖是已知的OSA风险因素,但严重肥胖的具体影响需要进一步调查.
研究的目的:
- 确定严重肥胖和儿科阻塞性睡眠呼吸暂停 (OSA) 的严重程度之间的关联.
- 为了评估严重肥胖儿童在腺切除术后残留OSA的风险.
主要方法:
- 对282名接受多睡眠图的儿童进行了回顾性病例系列分析.
- 根据BMI百分点,儿童被分为肥胖和严重肥胖的组.
- 多重逻辑回归被用来评估严重肥胖和严重的OSA之间的关联.
主要成果:
- 严重肥胖儿童 (53%) 与肥胖儿童相比,严重的OSA (53%对33%) 和非常严重的OSA (24%对11%) 的患病率更高.
- 严重的肥胖与严重的OSA独立相关 (aOR = 3.44).
- 在接受腺切除术的患者中,29%的患者有残留OSA,与残留OSA相关的3级严重肥胖 (aOR = 4.05).
结论:
- 严重的肥胖症显著增加了儿童阻塞性睡眠呼吸暂停的风险和严重程度.
- 严重肥胖的儿童即使经过手术干预后,也存在持续性OSA的风险.
更多相关视频
09:36Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
08:30Intraperitoneal Glucose Tolerance Test, Measurement of Lung Function, and Fixation of the Lung to Study the Impact of Obesity and Impaired Metabolism on Pulmonary Outcomes
Published on: March 15, 2018
相关概念视频
Sleep Apnea
The condition is more prevalent among...
Obesity
Other Pulmonary Disorders
Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
Medical History
