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本文引用的文献

1
Assessment of obstructive sleep apnoea (OSA) in children: an update.儿童阻塞性睡眠呼吸暂停(OSA)的评估:最新进展
Acta Otorhinolaryngol Ital. 2019 Oct;39(5):289-297. doi: 10.14639/0392-100X-N0262.
2
Effect of rapid maxillary expansion on sleep apnea-hypopnea syndrome in growing patients. A meta-analysis.快速上颌扩弓对生长发育期患者睡眠呼吸暂停低通气综合征的影响:一项荟萃分析
J Clin Exp Dent. 2019 Aug 1;11(8):e759-e767. doi: 10.4317/jced.55974. eCollection 2019 Aug.
3
Obstructive sleep apnea syndrome in the pediatric age: the role of the dentist.小儿阻塞性睡眠呼吸暂停综合征:牙医的作用
Eur Rev Med Pharmacol Sci. 2019 Mar;23(1 Suppl):9-14. doi: 10.26355/eurrev_201903_17341.
4
Obstructive sleep apnea: focus on myofunctional therapy.阻塞性睡眠呼吸暂停:关注肌功能治疗。
Nat Sci Sleep. 2018 Sep 6;10:271-286. doi: 10.2147/NSS.S141132. eCollection 2018.
5
Oral Interventions for Obstructive Sleep Apnea.口腔干预治疗阻塞性睡眠呼吸暂停。
Dtsch Arztebl Int. 2018 Mar 23;115(12):200-207. doi: 10.3238/arztebl.2018.0200.
6
AASM Scoring Manual Updates for 2017 (Version 2.4).2017年美国睡眠医学学会评分手册更新(第2.4版)
J Clin Sleep Med. 2017 May 15;13(5):665-666. doi: 10.5664/jcsm.6576.
7
The current state of pediatric drug-induced sleep endoscopy.小儿药物诱导睡眠内镜检查的现状
Laryngoscope. 2017 Jan;127(1):266-272. doi: 10.1002/lary.26091. Epub 2016 Jun 16.
8
Effect of exercise training on sleep apnea: A systematic review and meta-analysis.运动训练对睡眠呼吸暂停的影响:一项系统评价和荟萃分析。
Respir Med. 2016 Jul;116:85-92. doi: 10.1016/j.rmed.2016.05.015. Epub 2016 May 21.
9
The role of rapid maxillary expansion in the promotion of oral and general health.快速上颌扩弓在促进口腔及全身健康中的作用。
Prog Orthod. 2015;16:33. doi: 10.1186/s40510-015-0105-x. Epub 2015 Oct 7.
10
Mandibular advancement appliances for the treatment of paediatric obstructive sleep apnea: a systematic review.用于治疗儿童阻塞性睡眠呼吸暂停的下颌前移矫治器:一项系统评价
Eur J Orthod. 2015 Dec;37(6):618-26. doi: 10.1093/ejo/cju101. Epub 2015 Feb 12.

小儿阻塞性睡眠呼吸暂停综合征:新出现的证据和治疗方法。

Pediatric Obstructive Sleep Apnea Syndrome: Emerging Evidence and Treatment Approach.

机构信息

Department of Surgical, Medical and Molecular Pathology and Critical Area, Dental Clinic, University of Pisa, Pisa, Italy.

出版信息

ScientificWorldJournal. 2021 Apr 23;2021:5591251. doi: 10.1155/2021/5591251. eCollection 2021.

DOI:10.1155/2021/5591251
PMID:33981185
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8088382/
Abstract

OSA pediatric subjects suffer from episodes of upper airway obstruction that can be partial or complete, with atypical sleep patterns and blood-gas level alteration. If poor treated and/or diagnosed, it can cause cardiovascular disease, learning difficulties, behavioural issues, and retardation of growth. In the literature, there are conflicting evidence about OSA assessment and treatment in pediatric age, so the aim of this paper is to highlight the multidisciplinary approach in the management of sleep disorders, stressing the role of the pediatric dentist in both diagnosing and treating the OSAS in children, according to the current evidence of the treatment options effectiveness of the syndrome itself. . Scientific evidence shows that OSAS management requires a multidisciplinary approach in order to make an early diagnosis and a correct treatment plan. The orthodontic treatment approach includes orthopedic maxillary expansion and mandibular advancement using intraoral appliances. Hence, the orthodontist and the pediatric dentist play an important role not only in early diagnosis but also in the treatment of pediatric OSAS.

摘要

小儿阻塞性睡眠呼吸暂停低通气综合征(OSA)患者会出现上气道部分或完全阻塞,伴有不典型的睡眠模式和血气水平改变。如果治疗和/或诊断不当,可能会导致心血管疾病、学习困难、行为问题和生长发育迟缓。文献中对于小儿阻塞性睡眠呼吸暂停低通气综合征的评估和治疗存在相互矛盾的证据,因此本文旨在强调多学科方法在睡眠障碍管理中的作用,强调儿科牙医在诊断和治疗儿童阻塞性睡眠呼吸暂停低通气综合征(OSAS)中的作用,同时根据该综合征治疗方法有效性的现有证据。科学证据表明,阻塞性睡眠呼吸暂停低通气综合征的管理需要多学科方法,以便早期诊断和制定正确的治疗计划。正畸治疗方法包括使用口腔内矫治器进行上颌骨扩张和下颌骨前伸。因此,正畸医生和儿科牙医不仅在早期诊断中发挥重要作用,而且在儿童阻塞性睡眠呼吸暂停低通气综合征的治疗中也发挥重要作用。