腺样体扁桃体切除术治疗后持续性阻塞性睡眠呼吸暂停患儿的电话筛查。
Telephone Screening to Identify Children at Risk for Persistent Obstructive Sleep Apnea After Adenotonsillectomy.
出版信息
J Pediatr Health Care. 2016 Nov-Dec;30(6):e17-e25. doi: 10.1016/j.pedhc.2016.06.006. Epub 2016 Jul 19.
INTRODUCTION
Pediatric obstructive sleep apnea (OSA) is a common condition that can result in a range of adverse health outcomes if left untreated. A significant number of children who undergo adenotonsillectomy (T&A) for OSA will have persistent symptoms.
METHODS
This prospective, descriptive, pilot study utilized a telephone screening method with the Pediatric Sleep Questionnaire (PSQ) Sleep-Disordered Breathing (SRBD) questionnaire to identify children with residual symptoms of OSA after T&A. Risk factors for persistent OSA were also investigated.
RESULTS
The percentage of children identified with symptoms of persistent OSA was 33% (n = 28). No significant variables were associated with increased PSQ-SRBD scores.
DISCUSSION
This study found a number of children with persistent symptoms of sleep-disordered breathing after T&A, suggesting that these children may be at high risk for persistent OSA. Telephone screening using the PSQ-SRBD is a useful approach to identify children who may require a polysomnogram or referral to pediatric sleep specialist, particularly in settings where postoperative follow-up is poor.
引言
小儿阻塞性睡眠呼吸暂停（OSA）是一种常见病症，如果不加以治疗，可能会导致一系列不良健康后果。许多因 OSA 而行腺样体扁桃体切除术（T&A）的儿童仍会存在持续的症状。
方法
本前瞻性、描述性、初步研究采用电话筛查方法和小儿睡眠问卷（PSQ）睡眠呼吸障碍（SRBD）问卷，以确定 T&A 后仍存在 OSA 残留症状的儿童。还调查了持续性 OSA 的风险因素。
结果
有症状的持续性 OSA 儿童的比例为 33%（n=28）。没有明显的变量与 PSQ-SRBD 评分的增加有关。
讨论
本研究发现 T&A 后有许多儿童存在持续的睡眠呼吸障碍症状，这表明这些儿童可能有持续性 OSA 的高风险。使用 PSQ-SRBD 进行电话筛查是一种有用的方法，可以识别可能需要进行多导睡眠图或转介给儿科睡眠专家的儿童，特别是在术后随访较差的情况下。
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