在阻塞性睡眠呼吸暂停儿童腺切除术前后定期四肢运动
Amor Niksic1, Seckin O Ulualp1,2, A Claire Chapel1
1Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
The Laryngoscope
|June 7, 2025
概括
定期四肢运动指数 (PLMI) 在患有阻塞性睡眠呼吸暂停 (OSA) 的儿童中很常见. 腺切除术 (AT) 在大多数儿童中显著减少了PLMI,改善了睡眠质量.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 呼吸系统医学 呼吸系统医学
- 神经学 神经学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 在儿童中很普遍,并且可能与其他睡眠障碍有关.
- 肢体周期性运动 (PLMS) 是儿科OSA的常见发现,可能会影响睡眠质量和白天功能.
研究的目的:
- 为了确定患有阻塞性睡眠呼吸暂停 (OSA) 的儿童定期四肢运动 (PLMS) 的患病率.
- 评估腺切除术 (AT) 对OSA儿童周期性四肢运动指数 (PLMI) 的影响.
主要方法:
- 对接受腺切除术 (AT) 的OSA儿童进行了回顾性图表审查.
- 对人口统计数据,阻塞性呼吸暂停-呼吸暂停指数和AT前后的PLMS进行分析.
- 使用千平方或费舍尔的精确测试和配对的t测试或威尔科克森的签名等级测试,对PLMI进行统计比较.
主要成果:
- 在1159名患有OSA的儿童中,增加的PLMI (PLMS>5次/小时) 观察到9.8%的儿童.
- 随着年龄 (学龄前儿童,初中儿童,青少年) 和OSA严重程度 (中度,严重) 的增加,PLMI升高的患病率显著增加.
- 在AT之后,85%的儿童经历了PLMI升高的解决,PLMI显著下降,从每小时11.9事件降至2.9事件 (p ≤0.001).
结论:
- 升高的PLMI在接受AT的OSA儿童中是一种常见的并发症.
- 在大多数患有OSA的儿童中,腺切除术是解决PLMI的有效治疗方法.
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