观察等待对阻塞性睡眠呼吸暂停儿童口呼吸的无效性。
Ineffectiveness of watchful waiting on mouth breathing in children with obstructive sleep apnea.
作者信息
Dong Zhihuai, Ye Jing, Xiao Mang, You Huihua
机构信息
Department of Otolaryngology-Head and Neck Surgery, Sir Run Run Shaw Hospital, Medical College of Zhejiang University, Hangzhou, China.
Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Jinhua Hospital, Zhejiang University School of Medcine, Jinhua, China.
出版信息
Cranio. 2025 May;43(3):468-475. doi: 10.1080/08869634.2023.2180984. Epub 2023 Mar 22.
OBJECTIVE
To investigate the effectiveness of watchful waiting on mouth breathing in children with OSA.
METHODS
Children in the Childhood Adenotonsillectomy Trial (CHAT) dataset were divided into two groups according to the treatment they received. One question in the OSA-18 Quality-of-Life Survey was chosen to evaluate the severity of mouth breathing.
RESULTS
In total, 392 children (adenotonsillectomy group, n = 197 and watchful waiting group, n = 195) were enrolled in the study. There was no significant correlation between the Apnea-Hypopnea Index (AHI) and the severity of mouth breathing, . In watchful waiting group, there is no statistically significant difference of mouth breathing score (p = .555) between baseline and followup.
CONCLUSIONS
The watchful waiting of mouth breathing in children with less severe OSA is ineffective. More caution should be taken to choose watchful waiting for children with mild OSA but severe mouth breathing.
目的
探讨观察等待对阻塞性睡眠呼吸暂停（OSA）患儿口呼吸的疗效。
方法
根据儿童扁桃体腺样体切除术试验（CHAT）数据集中患儿接受的治疗方法将其分为两组。选取OSA-18生活质量调查问卷中的一个问题来评估口呼吸的严重程度。
结果
本研究共纳入392名儿童（腺样体扁桃体切除术组，n = 197；观察等待组，n = 195）。呼吸暂停低通气指数（AHI）与口呼吸严重程度之间无显著相关性。在观察等待组中，基线与随访时口呼吸评分无统计学显著差异（p = 0.555）。
结论
对病情较轻的OSA患儿采用观察等待对口呼吸无效。对于轻度OSA但口呼吸严重的患儿，选择观察等待时应更加谨慎。
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