评估不同类型的唇裂和 palatal 阻塞性睡眠呼吸暂停风险的评估
Patrícia Jost1, Gabriela Utrago2, Felícia Miranda1,2
1Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais de Bauru, Departamento de Ortodontia, Bauru, SP, Brasil.
Journal of applied oral science : revista FOB
|June 11, 2025
概括
患有裂的儿童患有阻塞性睡眠呼吸暂停 (OSA) 的风险很高,裂类型之间没有显著差异. 之前的腺切除手术增加了OSA风险.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 睡眠医学 睡眠医学
- 头骨面部异常 头骨面部异常
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是患有面异常的儿童常见的并发症.
- 裂唇和 palatal 条件可能会使个体易患 OSA 由于改变了呼吸道解剖学.
- 了解这一群体的OSA风险因素对于及时干预至关重要.
研究的目的:
- 评估不同类型裂口患者中阻塞性睡眠呼吸暂停 (OSA) 风险的患病率.
- 调查OSA风险与性别,年龄,BMI和先前腺切除术的相关性.
主要方法:
- 儿科睡眠问卷 (PSQ) 给了195名 (5-18岁) 患有非综合征性裂唇,裂唇和裂 palat,或隔离裂 palat的患者.
- 后勤回归分析确定了高OSA风险的预测因素.
- 统计学意义被设定为p<0.05.
主要成果:
- 超过一半 (51.3%) 的研究样本表现出高风险的OSA.
- 高OSA风险的患病率在口唇裂 (51.8%),口唇裂 (53.1%) 和隔离口唇裂 (46.6%) 群体中相似.
- 腺切除手术的病史是高OSA风险的显著预测因素 (OR=6.94).
结论:
- 裂口类型似乎不会影响高OSA风险的频率.
- 经过腺切除术的裂口儿童仍然面临OSA的风险较高.
- 需要对这种患者群体的气道管理进行进一步的研究.
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