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儿童打鼾与阻塞性睡眠呼吸暂停的管理

Managing snoring and obstructive sleep apnoea in childhood.

作者信息

Fitzgerald Nicholas M, Fitzgerald Dominic A

机构信息

Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia; Department of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.

出版信息

J Paediatr Child Health. 2013 Oct;49(10):800-6. doi: 10.1111/jpc.12421.

Abstract

Snoring assessment and its differentiation from obstructive sleep apnoea are difficult based upon a parent history and physical examination of the size of the tonsils. Not only is the presence of obstructive sleep apnoea important to diagnose, but confirming its severity is the key determinant in prioritising treatment in a resource-limited setting. This review provides current knowledge on the utility of common diagnostic tests, results of treatment options available and implications of treatment and unrecognised or untreated obstructive sleep apnoea.

摘要

基于家长的病史以及扁桃体大小的体格检查,打鼾评估及其与阻塞性睡眠呼吸暂停的鉴别诊断存在困难。不仅阻塞性睡眠呼吸暂停的诊断很重要,而且确定其严重程度是在资源有限的情况下确定治疗优先级的关键决定因素。本综述提供了有关常见诊断测试的效用、可用治疗方案的结果以及治疗和未识别或未治疗的阻塞性睡眠呼吸暂停的影响的当前知识。

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