阻塞性睡眠呼吸暂停的管理在儿童与口腔裂和/或耳鼻缺陷:查,测试和治疗的初步指南
Matthew Maksimoski1,2, Thomas J Sitzman3,4, Raymond W Tse5,6
1Department of Otolaryngology, Medical College of Wisconsin, Milwaukee, WI, USA.
概括
阻塞性睡眠呼吸暂停 (OSA) 在患有裂和面状况的儿童中很常见. 本综述为照顾这些独特患者的医疗保健团队提供了关于OSA评估和管理的指导.
科学领域:
- 儿科医学 儿科医学 儿科医学
- 睡眠的药物 睡眠的药物
- 头骨面部医学 头骨面部医学
背景情况:
- 阻塞性睡眠呼吸障碍 (oSDB),包括阻塞性睡眠呼吸暂停 (OSA),经常与口唇裂,腹缺陷 (VPI) 和其他面状况共存.
- oSDB显著影响儿童的生活质量,健康,手术规划和发育,特别是那些有面异常的儿童.
- oSDB是裂口口腔和腹腔大手术手术决策中的一个关键考虑因素.
研究的目的:
- 为医疗保健专业人员提供阻塞性睡眠呼吸暂停 (OSA) 评估和管理的入门资料.
- 讨论儿童群体的查,诊断方法和OSA测试的解释.
- 突出考虑特定的面状况和VPI手术对OSA的影响.
主要方法:
- 关于儿童的OSDB查,诊断和管理的当前文献的综述.
- 讨论OSA测试的解释及其在面人群中的应用.
- 检查患有裂和面状况的儿童中OSA的管理策略.
主要成果:
- 患有面疾病的儿童,包括口腔裂和VPI,对OSA的风险概况发生了变化.
- 提高认识和诊断准入已经确定了受益于OSA查的特定患者群体.
- VPI手术可能会影响OSA,需要仔细考虑管理.
结论:
- 管理裂和面状况的儿童的医疗保健团队需要了解OSA查,诊断和管理.
- 针对性OSA管理方法对于患有这些复杂疾病的儿童至关重要.
- 早期识别和适当的OSA管理改善了小儿病患面异常的治疗结果.
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