van Someren V, Burmester M, Alusi G, Lane R
Department of Paediatrics and Neonatology, Royal Free Hampstead NHS Trust, Pond Street, London NW3 2QG, UK.
Arch Dis Child. 2000 Jul;83(1):76-81. doi: 10.1136/adc.83.1.76.
To evaluate a sleep study service for children suspected of having sleep related upper airway obstruction (SRUAO).
Prospective survey.
Paediatric and ear, nose, and throat clinics of the Royal Free Hampstead NHS Trust.
Consecutively referred children with SRUAO symptoms.
Sleep study data, referring clinician's impression, and completed symptom questionnaires.
A total of 120 children (aged 6 months to 15.5 years) were studied. Study scores showed that 24 were classified as normal, 42 as mild, 33 as moderate, and 21 as severe SRUAO. In the 106 cases with matching data between clinician's impression and study score, 71 had good agreement, 18 were underestimated by the clinician, and 17 were over estimated. No cases reported as moderate or severe sleep apnoea by the study were referred by the clinician as normal. There were no important associations between parental symptom scores and sleep study scores.
In children with suspected SRUAO, sleep studies do contribute to assessing the need for operation, the likelihood of postoperative respiratory failure, or as a baseline or outcome measure in intervention studies.
评估一项针对疑似患有睡眠相关上气道阻塞（SRUAO）儿童的睡眠研究服务。
前瞻性调查。
皇家自由汉普斯特德国民保健服务信托基金的儿科及耳鼻喉科诊所。
连续转诊的有SRUAO症状的儿童。
睡眠研究数据、转诊医生的印象以及完整的症状问卷。
共研究了120名儿童（年龄6个月至15.5岁）。研究评分显示，24名被归类为正常，42名为轻度，33名为中度，21名为重度SRUAO。在106例医生印象与研究评分数据匹配的病例中，71例一致性良好，18例被医生低估，17例被高估。研究报告为中度或重度睡眠呼吸暂停的病例，医生均未诊断为正常。父母的症状评分与睡眠研究评分之间无重要关联。
对于疑似SRUAO的儿童，睡眠研究有助于评估手术需求、术后呼吸衰竭的可能性，或作为干预研究的基线或结局指标。
