腺样体扁桃体切除术治疗伴有注意缺陷多动障碍的儿童睡眠呼吸紊乱。
Adenotonsillectomy as a treatment for sleep-disordered breathing in children with ADHD.
机构信息
At the time this article was written, Alexandra Perez was a student in the PA program at the University of Toledo in Toledo, Ohio. She now practices in neurosurgery at Grant Hospital in Columbus, Ohio. Kimberly Hunter practices and is an assistant professor of psychiatry in the Child and Adolescent Psychiatry Department at the University of Toledo Medical Center. The authors have disclosed no potential conflicts of interest, financial or otherwise.
出版信息
JAAPA. 2020 Oct;33(10):34-39. doi: 10.1097/01.JAA.0000697248.35685.c6.
Sleep-disordered breathing (SDB) and attention deficit hyperactivity disorder (ADHD) are common disorders diagnosed in children. Although these diagnoses were previously considered unrelated, research now is showing that some symptoms of ADHD, specifically oppositional behavior, hyperactivity, and impulsivity, can be related to SDB in children and differs from bona fide ADHD. This article explores the connection between the two disorders and the importance of identifying and screening for SDB in children presenting with similar symptoms related to ADHD. The article also examines symptom improvement in patients with ADHD symptoms after an adenotonsillectomy, one of the first-line treatments for children diagnosed with SDB; this procedure may reduce the need for long-term stimulant use in some children with ADHD.
睡眠障碍性呼吸（SDB）和注意缺陷多动障碍（ADHD）是常见的儿童诊断疾病。虽然这些诊断以前被认为是不相关的，但现在的研究表明，ADHD 的一些症状，特别是对立行为、多动和冲动，可能与儿童 SDB 有关，并且与真正的 ADHD 不同。本文探讨了这两种疾病之间的联系，以及识别和筛查有类似 ADHD 相关症状的儿童 SDB 的重要性。本文还研究了接受腺样体扁桃体切除术的 ADHD 症状患者的症状改善情况，腺样体扁桃体切除术是儿童 SDB 的一线治疗方法之一；这一程序可能会减少一些患有 ADHD 的儿童对长期兴奋剂的需求。
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