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小儿阻塞性睡眠呼吸暂停有哪些新进展?

What's New in Pediatric Obstructive Sleep Apnea?

作者信息

Cielo Christopher M, Tapia Ignacio E

机构信息

Division of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Division of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

出版信息

Sleep Med Clin. 2023 Jun;18(2):173-181. doi: 10.1016/j.jsmc.2023.02.002. Epub 2023 Mar 9.

Abstract

Obstructive sleep apnea (OSA) is common children. There is a demand for more family-focused evaluation and novel diagnostic approaches. Drug-induced sleep endoscopy is increasingly being used clinically in children with Down syndrome and other comorbidities. Several studies have examined the association between OSA and other comorbidities during childhood. Therapeutic options for OSA in children remain limited. Recent studies have examined the utility of hypoglossal nerve stimulation in children with Down syndrome. Positive airway pressure has been a mainstay of OSA treatment. Several recent studies have assessed factors associated with adherence. Infants are challenging to treat for OSA.

摘要

阻塞性睡眠呼吸暂停(OSA)在儿童中很常见。对更以家庭为中心的评估和新型诊断方法存在需求。药物诱导睡眠内镜检查在唐氏综合征及其他合并症儿童中越来越多地应用于临床。多项研究探讨了儿童期OSA与其他合并症之间的关联。儿童OSA的治疗选择仍然有限。最近的研究探讨了舌下神经刺激在唐氏综合征儿童中的效用。持续气道正压通气一直是OSA治疗的主要方法。最近的几项研究评估了与依从性相关的因素。婴儿OSA的治疗具有挑战性。

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