儿科阻塞性睡眠呼吸暂停和高血压之间的关联:数据库研究
Summer Xu1, Sophia Angelo2, Jessica R Levi2
1School of Medicine, University of Connecticut Health Center, Farmington, Connecticut, USA.
概括
儿童阻塞性睡眠呼吸暂停 (OSA) 与儿童患高血压的风险更高有关. 早期诊断和治疗OSA对于管理这一群体的高血压至关重要.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 儿童的心血管健康问题
- 呼吸系统医学 呼吸系统医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是儿童常见的睡眠障碍.
- 高血压在儿科患者中是一个越来越公认的问题.
- 儿科OSA和高血压之间的关系需要进一步调查.
研究的目的:
- 调查阻塞性睡眠呼吸暂停 (OSA) 严重程度与儿科患者高血压存在之间的关联.
- 在被诊断患有OSA的儿童中确定高血压的预测因素.
主要方法:
- 这是一项回顾性队列研究,利用来自全国儿童医院睡眠数据库的数据.
- 纳入标准:18岁以下的患者进行睡眠研究.
- 排除标准:具有持续正气道压力的研究,术后研究或混诊断. 进行了后勤回归分析,控制了BMI百分位数和年龄.
主要成果:
- 对2258项睡眠研究的分析显示,高血压组之间的年龄,体重类和OSA严重程度存在显著差异.
- 中度OSA是初级高血压 (OR 3.20) 和一般高血压 (OR 2.45) 的显著预测因素.
- 年龄和BMI百分位数也是一般高血压的重要预测因素.
结论:
- 中度儿科阻塞性睡眠呼吸暂停明显与高血压的可能性增加有关.
- 这些发现强调了及时诊断和管理儿童的OSA的重要性,以减轻高血压风险.
更多相关视频
相关概念视频
Sleep Apnea
130
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...
130
Hypertension and Regulation of Blood Pressure
1.9K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
1.9K
Measurement of Blood Pressure
892
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
892
Pulmonary Hypertension: Classification and Pathogenesis
156
Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
There are various classifications for PH, each relating to different underlying causes and also...
156
Other Pulmonary Disorders
807
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
807
Attention-Deficit/Hyperactivity Disorder
50
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
50


