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小儿阻塞性睡眠呼吸暂停管理的最新进展。

Updates on management of pediatric obstructive sleep apnea.

作者信息

Yu Jason L, Afolabi-Brown Olufunke

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery Perelman School of Medicine University of Pennsylvania Philadelphia PA USA.

Division of Sleep Medicine Perelman School of Medicine University of Pennsylvania Philadelphia PA USA.

出版信息

Pediatr Investig. 2019 Dec 21;3(4):228-235. doi: 10.1002/ped4.12164. eCollection 2019 Dec.

Abstract

Obstructive sleep apnea (OSA) affects about 1%-5% of the pediatric population. The consequences of untreated OSA in children include neurocognitive deficits, behavioral problems, poor school performance as well as systemic and pulmonary hypertension. The treatment options for pediatric OSA are numerous with a variety of surgical and non-surgical interventions. As our understanding of the complexities of OSA grows, the options for management have continued to expand as well. The objectives of this review are to describe the commonly prescribed treatments for pediatric OSA including adenotonsillectomy as well as use of positive airway pressure. We also highlight other surgical and non-surgical interventions available. In addition, we provide updates on current research focusing on newer diagnostic and experimental treatment modalities.

摘要

阻塞性睡眠呼吸暂停(OSA)影响约1% - 5%的儿童人群。儿童未经治疗的OSA的后果包括神经认知缺陷、行为问题、学业成绩不佳以及全身性和肺动脉高压。小儿OSA的治疗选择众多,包括各种手术和非手术干预措施。随着我们对OSA复杂性的认识不断加深,管理选项也在不断扩展。本综述的目的是描述小儿OSA的常用治疗方法,包括腺样体扁桃体切除术以及气道正压通气的使用。我们还重点介绍了其他可用的手术和非手术干预措施。此外,我们提供了关于当前研究的最新信息,这些研究聚焦于更新的诊断和实验性治疗方式。

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