Division of Pulmonary and Sleep Medicine, Sleep Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Pediatr Pulmonol. 2022 Aug;57(8):1897-1903. doi: 10.1002/ppul.25318. Epub 2021 Mar 1.
In this review, we have summarized the benefits of treatment with positive airway pressure for the childhood obstructive sleep apnea syndrome and presented a socio-ecological framework to enhance our understanding of positive airway pressure adherence predictors and important targets of comprehensive positive airway pressure treatment models across different pediatric populations. Although positive airway pressure is clearly a beneficial treatment for pediatric obstructive sleep apnea syndrome, additional research is needed to evaluate how socio-ecological factors may interact to predict positive airway pressure adherence, with more attention to the impact of the broader healthcare setting and on treatment approaches and outcomes in special pediatric populations.
在这篇综述中,我们总结了气道正压治疗儿童阻塞性睡眠呼吸暂停综合征的益处,并提出了一个社会生态学框架,以增强我们对气道正压治疗模型在不同儿科人群中预测因素和重要目标的理解。尽管气道正压治疗显然对儿童阻塞性睡眠呼吸暂停综合征有益,但仍需要进一步研究来评估社会生态学因素如何相互作用来预测气道正压治疗的依从性,同时更关注更广泛的医疗保健环境以及特殊儿科人群中的治疗方法和结果的影响。