怀疑儿科睡眠障碍呼吸 - - 我们何时进行多睡眠图?
Ella Ruikka1,2, Lotta Ukonaho3, Ilkka Kivekäs4,3
1Department of Otorhinolaryngology, Tampere University Hospital, Wellbeing Services County of Pirkanmaa, Elämänaukio 2, Tampere, 33520, Finland. ella.ruikka@tuni.fi.
概括
在怀疑睡眠呼吸障碍 (SDB) 的儿童中,对多睡眠学 (PSG) 的转诊受年龄,性别,症状和转诊来源的影响. 制定一个标准化的指导方针PSG转诊对于一致的诊断和治疗至关重要.
科学领域:
- 儿科 儿科 儿科
- 睡眠医学 睡眠医学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 诊断儿科睡眠呼吸障碍 (SDB) 通常需要多睡眠学 (PSG),这是一个资源密集的程序.
- 对儿童SDB的临床评估可能不可靠,需要客观的诊断方法.
- 在儿科SDB中影响PSG转诊决定的因素需要确定.
研究的目的:
- 确定影响决定将疑似SDB的儿童转诊于多眠图 (PSG) 的因素.
- 了解儿科SDB的PSG转诊实践中的变化.
主要方法:
- 追溯队列研究涉及1267名年龄在0-16岁的儿童,怀疑患有SDB.
- 分析与PSG转诊相关的因素,包括年龄,性别,症状,并发症和转诊来源.
主要成果:
- 在16.5%的儿童中进行了PSG.
- 对PSG的转诊随着年龄,男性性别和特定阻塞性睡眠呼吸暂停 (OSA) 症状的增加而增加.
- 患有中度/严重并发症的儿童和从儿科专科转诊的儿童的PSG转诊率更高.
- 牙医推与较低的PSG可能性有关.
结论:
- 转诊PSG儿童的决定是主观的,受到多种因素的影响.
- 为了确保一致的诊断,需要为儿科SDB中的PSG转诊制定标准化指南.
- 标准化的转诊途径可以优化SDB的诊断程序和治疗计划.
相关概念视频
Sleep Apnea
697
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...
697
Respiratory System Abnormal Finding I: Inspection and Percussion
1.1K
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
1.1K
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
Assessment of Respiration
2.2K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
2.2K
Physical Assessment of the Respiratory Tract II: Inspection
1.1K
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
1.1K
Respiratory Volumes and Capacities I
1.9K
Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...
1.9K


