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在经过腺切除术的睡眠呼吸障碍儿童中,尤斯塔希管功能障碍的患病率和危险因素:双中心回顾性研究
Wenting Deng1, Wenwei Luo2, Zihui Zhang1
1Department of Otolaryngology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.
尤斯塔基管功能障碍 (ETD) 在经过腺切除术的睡眠呼吸障碍儿童中很常见. 年龄较小,过敏,鼻炎和腺问题是该人口中ETD相关的风险因素.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 睡眠医学 睡眠医学
- 流行病学 流行病学
背景情况:
- 睡眠呼吸障碍 (SDB) 是儿童常见的疾病.
- 腺切除术是儿科SDB的主要手术干预.
- 欧斯塔基管功能障碍 (ETD) 可以影响中耳健康和SDB管理.
研究的目的:
- 为了确定在接受腺切除术的SDB儿童中ETD的患病率.
- 在这个队列中确定与ETD相关的人口和临床风险因素.
主要方法:
- 追溯队列研究的设计.
- 包括1044名3至14岁的儿童,他们接受了SDB的腺切除术.
- 通过耳 tympanometry 对ETD进行评估,并对临床数据分析风险因素.
主要成果:
- ETD的流行率为35.92% (375/1,044名儿童).
- 确定的ETD风险因素包括年龄较小 (≤6岁),过敏性鼻炎,鼻炎,腺增大和缺氧.
- 没有发现与性别,疾病持续时间,桃体缩,肥胖或阻塞性睡眠呼吸暂停有重大关联.
结论:
- 尤斯塔基管功能障碍在需要腺切除术的SDB儿童中非常普遍.
- 在这种儿科患者群体中,对ETD的早期识别和干预可能至关重要.
- 需要对SDB中ETD的临床影响和管理进行进一步的研究.
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