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以循证医学方法开展针对唐氏综合征患儿的 12 分钟咨询。

An evidence-based approach to the 12-min consultation for a child with Down's syndrome.

机构信息

Department of Otolaryngology and Head & Neck Surgery Department of Paediatrics, Royal Manchester Children's Hospital, Manchester, UK.

出版信息

Clin Otolaryngol. 2012 Aug;37(4):291-6. doi: 10.1111/j.1749-4486.2012.02482.x.

DOI:10.1111/j.1749-4486.2012.02482.x
PMID:22925092
Abstract

BACKGROUND

Down's syndrome is the commonest genetic condition. ENT problems are common in these children and can affect their development and quality of life.

METHOD

English literature review and experience of the senior author in managing ENT problems in children and adults with Down's syndrome.

SEARCH STRATEGY

We carried out a Medline search on 31/03/2012 of English language publications using the following keywords: Down/Down's syndrome, hearing loss, ear infections, sleep apnoea, thyroid.

RESULTS

The prevalence, presenting features and management of many common ENT conditions are significantly different in children who have Down's syndrome. This is particularly true of otitis media with effusion and sleep-disordered breathing.

CONCLUSION

The outpatient consultation for a child with Down's syndrome should assess a range of specific ENT problems affecting this patient group including hearing issues, sleep-disordered breathing, recurrent upper respiratory tract infections, as well as other health conditions like hypothyroidism, atlantoaxial instability and cardiac issues, which can potentially affect the management of the patient.

摘要

背景

唐氏综合征是最常见的遗传病症。这些儿童中常见 ENT 问题,并可能影响他们的发育和生活质量。

方法

对英文文献的复习,以及资深作者在管理唐氏综合征儿童和成人 ENT 问题方面的经验。

检索策略

我们于 2012 年 3 月 31 日进行了 Medline 检索,使用了以下关键词:唐氏/唐氏综合征、听力损失、耳部感染、睡眠呼吸暂停、甲状腺。

结果

唐氏综合征儿童中许多常见 ENT 病症的患病率、表现特征和治疗方法显著不同。中耳积液和睡眠呼吸紊乱尤其如此。

结论

唐氏综合征儿童的门诊咨询应评估一系列影响该患者群体的特定 ENT 问题,包括听力问题、睡眠呼吸紊乱、复发性上呼吸道感染,以及其他健康状况,如甲状腺功能减退、寰枢椎不稳定和心脏问题,这些问题可能会影响患者的管理。

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