Sharma S D, Kanona H, Kumar G, Kotecha B
Department of Otorhinolaryngology,Queen's Hospital,Romford,UK.
J Laryngol Otol. 2016 May;130(5):482-9. doi: 10.1017/S0022215116000980.
To investigate the assessment and management of paediatric snoring and obstructive sleep apnoea in UK otolaryngology departments.
A telephone questionnaire survey of UK otolaryngology departments was conducted over a 16-week period.
The response rate was 61 per cent (85 out of 139 trusts). Use of pre-operative pulse oximetry was reported by 84 per cent of respondents, mainly to diagnose obstructive sleep apnoea (73 per cent) or stratify post-operative risk (46 per cent). Thirty-one per cent of respondents reported using post-operative pulse oximetry. Twenty-five per cent of respondents have a dedicated management protocol for paediatric obstructive sleep apnoea and snoring. Thirty-four per cent require prior clinical commissioning group approval before performing surgery. Fifty-eight per cent of respondents reported following up their obstructive sleep apnoea patients after surgery. The mean follow-up period (±standard deviation) was 6.8 ± 1.2 weeks.
There is variation in the assessment and management of paediatric snoring and obstructive sleep apnoea across the UK, particularly in the use of pre- and post-operative pulse oximetry monitoring, and further guidelines regarding this are necessary.
调查英国耳鼻喉科对小儿打鼾和阻塞性睡眠呼吸暂停的评估与管理情况。
在16周的时间内，对英国耳鼻喉科进行了电话问卷调查。
回复率为61%（139个信托机构中有85个回复）。84%的受访者报告使用术前脉搏血氧饱和度测定，主要用于诊断阻塞性睡眠呼吸暂停（73%）或分层术后风险（46%）。31%的受访者报告使用术后脉搏血氧饱和度测定。25%的受访者有针对小儿阻塞性睡眠呼吸暂停和打鼾的专门管理方案。34%的受访者在进行手术前需要获得临床委托小组的事先批准。58%的受访者报告在术后对阻塞性睡眠呼吸暂停患者进行随访。平均随访期（±标准差）为6.8±1.2周。
英国各地在小儿打鼾和阻塞性睡眠呼吸暂停的评估与管理方面存在差异，尤其是在术前和术后脉搏血氧饱和度监测的使用上，因此有必要就此制定进一步的指南。
