口腔呼吸与儿科阻塞性睡眠呼吸暂停之间的关联:系统性审查
Padmanabhan Vaishnavi1, Shan Sushmita1, K Vivek1
1Department of Pediatric and Preventive Dentistry, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamilnadu, India.
概括
口腔呼吸与儿科阻塞性睡眠呼吸暂停 (P-OSA) 密切相关. 早期识别口腔呼吸可以帮助诊断和管理P-OSA,改善治疗结果.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 呼吸系统生理学 呼吸系统生理学
- 头骨面部的发展
背景情况:
- 睡眠对儿童的发育至关重要,但像阻塞性睡眠呼吸暂停 (OSA) 这样的睡眠障碍会破坏睡眠.
- 多睡眠学,是OSA诊断的黄金标准,其可访问性有限.
- 口腔呼吸是P-OSA的可见指标,可以通过影响面生长来加剧OSA风险.
研究的目的:
- 系统地审查和综合口腔呼吸和儿科阻塞性睡眠呼吸暂停 (P-OSA) 之间的联系的证据.
主要方法:
- 在多个数据库 (PubMed,EMBASE,Scopus等) 中使用PEO框架进行系统的文献搜索. 在2025年9月之前.
- 包括13项研究 (2个横截面,11个队列) 经过严格的查和质量评估.
- 数据分析使用Distiller SR软件进行管理.
主要成果:
- 在大多数研究中,口腔呼吸和OSA严重程度之间发现了显著的相关性.
- 口腔呼吸被确定为持续P-OSA在腺切除术后的潜在预测因素.
- 研究中诊断方法的变化导致了一些不一致的发现.
结论:
- 口腔呼吸与P-OSA密切相关,作为早期诊断的关键标志物.
- 识别口腔呼吸对于评估P-OSA和监测治疗有效性至关重要.
- 医疗保健提供者应在评估口腔呼吸时保持警,因为口腔呼吸是P-OSA的早期指标.
相关概念视频
Sleep Apnea
465
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
465
Cardiopulmonary Resuscitation II: ACLS Airway Management
509
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
509
Respiratory Assessment: Purpose and Indications
1.7K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.7K
Other Pulmonary Disorders
1.5K
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
1.5K
Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.6K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.6K
Physical Assessment of the Respiratory Tract II: Inspection
826
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
826


