Markkanen Saara, Rautiainen Markus, Himanen Sari-Leena, Satomaa Anna-Liisa, Katila Maija, Peltomäki Timo, Saarenpää-Heikkilä Outi
Department of Ear and Oral Diseases, Tampere University Hospital, Tampere, Finland.
Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Acta Paediatr. 2021 Mar;110(3):977-984. doi: 10.1111/apa.15496. Epub 2020 Aug 21.
The difficulty of assessing the likelihood of obstructive sleep apnoea (OSA) in children who snore without full-night polysomnography is widely recognised. Our aim was to identify features that were characteristic of two-year-old children with OSA and evaluate whether this information could be used to assess the likelihood of OSA.
The study was carried out as part of the Child-Sleep Project, a longitudinal birth cohort study of children born at Tampere University Hospital, Finland. This part of the study focused on the children in the cohort who snored and was carried out between 2013 and 2015. The primary outcomes were measured using parental questionnaires, polysomnography and clinical examinations.
In total, 52 children participated at a mean age of 27 months (range 23-34). Of these, 32 (44% male) snorers and 20 (70% male) controls. The most significant findings were that children who had OSA demonstrated longer snoring time (P = .003), a greater tendency for mouth breathing (P = .007) and bigger adenoid size (P = .008) than snorers without OSA.
Snoring time, adenoid tissue size and mouth breathing were important features that identified the likelihood of OSA in snoring toddlers.
在未进行全夜多导睡眠监测的情况下，评估打鼾儿童患阻塞性睡眠呼吸暂停（OSA）可能性的难度已得到广泛认可。我们的目的是确定患有OSA的两岁儿童的特征，并评估这些信息是否可用于评估OSA的可能性。
该研究作为儿童睡眠项目的一部分进行，这是一项对芬兰坦佩雷大学医院出生的儿童进行的纵向出生队列研究。该研究的这一部分聚焦于队列中打鼾的儿童，于2013年至2015年开展。主要结局通过家长问卷、多导睡眠监测和临床检查进行测量。
共有52名儿童参与，平均年龄为27个月（范围23 - 34个月）。其中，32名（44%为男性）打鼾儿童和20名（70%为男性）对照儿童。最显著的发现是，与无OSA的打鼾儿童相比，患有OSA的儿童打鼾时间更长（P = 0.003）、口呼吸倾向更大（P = 0.007）且腺样体更大（P = 0.008）。
打鼾时间、腺样体组织大小和口呼吸是确定打鼾幼儿患OSA可能性的重要特征。
