在波士顿和黎巴嫩的儿童中,阻塞性睡眠呼吸暂停风险和预测因素
Lyn Hajjar1, Arash Poursattar Bejehmir1,2, Marianne Saade1
1Henry M. Goldman School of Dental Medicine, Department of Orthodontics and Dentofacial Orthopedics, Boston University, Boston, Massachusetts, USA.
Journal of orthodontic science
|October 29, 2025
概括
黎巴嫩儿童有明显更高的阻塞性睡眠呼吸暂停 (OSA) 的风险,由于普遍的腺体和桃体缩. 大脑测量测量有所不同,但在本比较研究中没有预测OSA风险.
科学领域:
- 相对的头骨和面部和睡眠医学研究.
- 在不同地理区域的儿科群体中调查阻塞性睡眠呼吸暂停 (OSA) 的患病率和危险因素.
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍存在的疾病,对健康有重大影响.
- 了解OSA患病率和相关风险因素的地理差异对于有针对性的干预至关重要.
研究的目的:
- 为了比较波士顿和黎巴嫩儿童之间阻塞性睡眠呼吸暂停 (OSA) 的患病率和脑力测量测量.
- 为了确定OSA高风险个体与他们潜在的呼吸系统疾病之间的关系.
主要方法:
- 一项涉及波士顿和黎巴嫩牙科治疗中心463名儿童的横截面研究.
- 数据收集包括病史,儿科睡眠问卷 (PSQ) 和侧脑图.
- 评估斜腰和垂直尺寸,头骨底部,大,下,舌骨位置和呼吸道参数.
主要成果:
- 与波士顿儿童 (0.7%) 相比,黎巴嫩儿童的OSA患病率显著高 (17.8%),赔率比率为0.05.
- 腺体和桃体缩和鼻腔隔膜偏差在黎巴嫩儿童中明显更为普遍.
- 腺体和桃体缩被确定为OSA的显著预测因素.
结论:
- 在黎巴嫩儿童中观察到较高的OSA风险患病率,与增加的腺体和桃体缩有关.
- 在波士顿和黎巴嫩群体之间发现了脑电测量的显著差异,但这些并不能预测OSA风险.
- 腺体和桃体缩是OSA的关键风险因素,黎巴嫩儿童显示出更大的倾向.
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