药物诱导的睡眠内镜的应用在婴儿与动态上呼吸道崩的婴儿
Qing Wei1, Ruimin Yang2, Xun Chen1
1Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Frontiers in pediatrics
|October 13, 2025
概括
药物诱导睡眠内镜 (DISE) 是一种安全有效的工具,用于诊断婴儿的动态上呼吸道崩. 与清醒内镜相比,这种方法显著提高了诸如喉和喉气道崩等疾病的诊断率.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 睡眠医学 睡眠医学
- 诊断内镜检查 诊断内镜检查
背景情况:
- 动态上呼吸道崩是婴儿的一个重大问题,呈现出各种临床症状.
- 准确的诊断对于及时干预和管理气道阻塞至关重要.
研究的目的:
- 评估药物诱导睡眠内镜 (DISE) 在怀疑患有动态上呼吸道崩的婴儿中的实用性和安全性.
- 在这个人群中,将DISE的诊断产量与清醒内镜 (AE) 进行比较.
主要方法:
- 怀疑有动态上呼吸道崩的婴儿接受了清醒内镜 (AE) 和药物诱导睡眠内镜 (DISE).
- 记录了DISE的镇静策略,并比较了两种程序之间的内镜检测结果.
- 记录了与DISE相关的诊断率和不良事件.
主要成果:
- 与AE (28.6%) 相比,DISE显示动态上呼吸道崩的诊断率 (100%) 显著更高.
- 对于喉病,DISE实现了100%的诊断率,而AE的诊断率为18.7%.
- DISE在诊断背腔和下喉崩方面特别有效,所有病例都是仅通过DISE诊断的.
结论:
- 药物诱导睡眠内镜 (DISE) 是可行且安全的诊断程序,用于怀疑动态上呼吸道崩的婴儿.
- 与清醒内镜相比,DISE显著提高了喉病和喉气道崩的诊断准确性.
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