安基洛格洛西亚与儿科睡眠呼吸障碍相关吗? 一个系统的审查
Nainika Venugopal1, Josh Neposlan2, Andrew Bysice3
1Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
The Laryngoscope
|September 17, 2025
概括
舌和儿科睡眠呼吸障碍 (SDB) 之间的联系尚不清楚. 目前的证据不足以推为SDB治疗儿童的切术.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 睡眠医学 睡眠医学
- 发育儿科 发育儿科
背景情况:
- 睡眠呼吸障碍 (SDB) 影响2%-11%的儿童,导致神经行为问题.
- 舌 (舌) 是SDB的潜在危险因素,切术被提议作为治疗方法.
- 鉴于诊断数量不断增加,评估将儿童的无骨与SDB联系起来的证据至关重要.
研究的目的:
- 批判性地评价现有证据,以证明安基洛格洛西亚和儿科睡眠呼吸障碍之间的关系.
- 评估当前支持切术作为诊断为ankyloglossia的儿童SDB治疗的数据.
主要方法:
- 在多个数据库 (EMBASE,科学网,Medline,CINAHL,CCRCT,SCOPUS) 进行了全面的文献搜索,截至2025年2月13日.
- 包括的研究集中在0-18岁的非综合症儿童身上,评估了黄症与SDB的关系.
- 研究质量是使用Cochrane偏差风险评估和修改后的纽卡斯尔-太华尺度来评估的.
主要成果:
- 关于安基洛格洛西亚和儿科SDB之间的关联的证据是混合的和不确定的.
- 局限性包括缺乏标准化诊断标准来诊断无骨,以及对SDB评估依赖调查.
- 目前还没有足够的数据来支持切作为该群体中SDB的治疗方法,尽管一些干预研究表明存在正面联系.
结论:
- 安基洛格洛西亚和儿科SDB之间的关系尚不清楚.
- 没有足够的证据来确定切术是对患有无骨的儿童的SDB治疗的指示.
- 未来需要高质量的研究,采用标准化功能测量和验证的SDB评估工具.
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