Sleep medicine.
作者信息
Goldbart Aviv D
机构信息
aDepartment of Pediatrics bPediatric Pulmonary and Sleep Research Laboratory cSleep-Wake Disorders Center, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
出版信息
Curr Opin Pediatr. 2015 Jun;27(3):329-33. doi: 10.1097/MOP.0000000000000218.
PURPOSE OF REVIEW
To reflect the recent advances in the field of pediatric sleep medicine. The pediatrician will be able to define which children to refer for a sleep study and what to expect from the sleep specialist in 2015.
RECENT FINDINGS
In the first study that compared adeno tonsillectomy (TA) to watchful waiting, TA reduced symptoms and improved children's behavior, quality of life, and polysomnographic results. Anti-inflammatory therapy for mild obstructive sleep apnea was effective and well tolerated according to a double-blind study. A retrospective study showed that it is beneficial for 80% of the patients. TA is associated with a decrease in asthma symptoms and medication utilization.
SUMMARY
Pediatricians need to be aware of the clear benefits of tonsillectomy (including better asthma control), although anti-inflammatory therapy may improve symptoms and polysomnographic findings in children with nonsevere obstructive sleep apnea.
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