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儿童正畸就诊中睡眠呼吸障碍。

Sleep disordered breathing in children seeking orthodontic care.

机构信息

Private practice, Cleveland, Ohio.

Department of Community Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio.

出版信息

Am J Orthod Dentofacial Orthop. 2018 Jul;154(1):65-71. doi: 10.1016/j.ajodo.2017.11.027.

Abstract

INTRODUCTION

Our objective was to evaluate the prevalence of high-risk factors for sleep disordered breathing (SDB) in an orthodontic population of children. SDB is a spectrum of breathing disorders ranging from primary snoring to obstructive sleep apnea.

METHODS

The sample included 303 healthy children between the ages of 9 and 17. High risk of SDB was assessed using the Pediatric Sleep Questionnaire, a validated instrument that consists of 22 questions, and high risk is defined as positive answers to 33% or more of the questions answered. Sixteen randomly selected patients repeated the questionnaire 1 month after the initial survey for reliability.

RESULTS

In this sample, high-risk status on the Pediatric Sleep Questionnaire was not associated with sex, age, or race. The percentage of patients who were screened as high risk was 7.3% (95% confidence interval, 4.7%-10.6%).

CONCLUSIONS

The results of this study suggest that approximately 7% of adolescent orthodontic patients may be at a significant risk for some form of SDB.

摘要

简介

我们的目的是评估正畸儿童群体中睡眠呼吸紊乱(SDB)高危因素的流行率。SDB 是一种呼吸障碍谱,范围从单纯性打鼾到阻塞性睡眠呼吸暂停。

方法

该样本包括 303 名年龄在 9 至 17 岁之间的健康儿童。使用小儿睡眠问卷(PSQ)评估 SDB 的高危风险,这是一种经过验证的工具,由 22 个问题组成,高危风险定义为对 33%或更多回答问题的肯定回答。16 名随机选择的患者在初始调查后 1 个月重复了该问卷以评估可靠性。

结果

在这个样本中,小儿睡眠问卷上的高危状态与性别、年龄或种族无关。被筛查为高危的患者百分比为 7.3%(95%置信区间,4.7%-10.6%)。

结论

这项研究的结果表明,大约 7%的青少年正畸患者可能存在某种形式的 SDB 的显著风险。

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