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阿联酋迪拜寻求儿科牙科护理的儿童和青少年的睡眠障碍性呼吸。

Sleep-disordered breathing in children and adolescents seeking paediatric dental care in Dubai, UAE.

机构信息

Dubai Healthcare City, Dubai, United Arab Emirates.

Pediatric Dentistry Department, Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), PO Box 505097, Dubai, United Arab Emirates.

出版信息

Eur Arch Paediatr Dent. 2022 Jun;23(3):485-494. doi: 10.1007/s40368-022-00697-8. Epub 2022 Feb 27.

Abstract

PURPOSE

This study aimed to evaluate the severity of high-risk SDB in children and adolescents seeking paediatric dental care. Sleep-disordered breathing (SDB) has many untoward consequences that may interfere with children's health and is associated with several risk factors.

METHODS

In this cross-sectional study, the convenience sample included 65 healthy children and adolescents aged 7-16. High-risk SDB breathing was assessed using the Paediatric-Sleep-Questionnaire consisting of 22 questions. High-risk was defined as a positive response to 33% or more of the questions. The clinical examination included: tonsils' size, Body-Mass Index, orthodontic examination, and enamel defects.

RESULTS

In this sample of 65 children with a mean age of 9.75 (± 2.60) years; 36 (55.4%) were boys, and 29 (44.6%) were girls. Overall, 12.3% of children in the sample were at high-risk of SDB, and this was significantly associated with tonsils' size (P = 0.001), Body-Mass Index (P = 0.03), Class-II molar relationship (P = 0.03), and posterior crossbite/s (P = 0.02).

CONCLUSIONS

This study suggested that approximately 12% of the sample studied were potentially at risk of SDB. Tonsils' size, Body-Mass Index, Class-II molar relationship, and posterior crossbite/s were positively associated with the risk of SDB. Therefore, the importance of investigating the risk for sleep-disordered breathing should not be disregarded.

摘要

目的

本研究旨在评估寻求儿科牙科护理的儿童和青少年中高危睡眠呼吸暂停低通气综合征(SDB)的严重程度。睡眠呼吸障碍(SDB)有许多不良后果,可能会干扰儿童的健康,并与多种危险因素相关。

方法

在这项横断面研究中,采用方便抽样法纳入了 65 名年龄在 7-16 岁的健康儿童和青少年。使用由 22 个问题组成的儿科睡眠问卷评估高危 SDB 呼吸。高危定义为对 33%或更多问题的阳性反应。临床检查包括:扁桃体大小、体重指数、正畸检查和牙釉质缺陷。

结果

在这个 65 名儿童的样本中,平均年龄为 9.75(±2.60)岁;36 名(55.4%)为男孩,29 名(44.6%)为女孩。总体而言,样本中 12.3%的儿童有 SDB 高危风险,这与扁桃体大小(P=0.001)、体重指数(P=0.03)、Ⅱ类磨牙关系(P=0.03)和后牙反合/锁合(P=0.02)显著相关。

结论

本研究表明,研究样本中约有 12%的儿童可能存在 SDB 风险。扁桃体大小、体重指数、Ⅱ类磨牙关系和后牙反合/锁合与 SDB 风险呈正相关。因此,不应忽视对睡眠呼吸障碍风险的调查。

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