用于小儿阻塞性睡眠呼吸暂停诊断的多导睡眠图替代方法
Alternatives to Polysomnography for the Diagnosis of Pediatric Obstructive Sleep Apnea.
作者信息
Teplitzky Taylor B, Zauher Audrey J, Isaiah Amal
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
出版信息
Diagnostics (Basel). 2023 Jun 3;13(11):1956. doi: 10.3390/diagnostics13111956.
Abstract
Diagnosis of obstructive sleep apnea (OSA) in children with sleep-disordered breathing (SDB) requires hospital-based, overnight level I polysomnography (PSG). Obtaining a level I PSG can be challenging for children and their caregivers due to the costs, barriers to access, and associated discomfort. Less burdensome methods that approximate pediatric PSG data are needed. The goal of this review is to evaluate and discuss alternatives for evaluating pediatric SDB. To date, wearable devices, single-channel recordings, and home-based PSG have not been validated as suitable replacements for PSG. However, they may play a role in risk stratification or as screening tools for pediatric OSA. Further studies are needed to determine if the combined use of these metrics could predict OSA.
摘要
诊断患有睡眠呼吸障碍（SDB）的儿童的阻塞性睡眠呼吸暂停（OSA）需要在医院进行的一级整夜多导睡眠图（PSG）检查。由于费用、获取障碍以及相关的不适，对于儿童及其照料者而言，进行一级PSG检查可能具有挑战性。因此需要采用负担较小的方法来近似儿科PSG数据。本综述的目的是评估和讨论评估儿科SDB的替代方法。迄今为止，可穿戴设备、单通道记录和家庭式PSG尚未被证实可作为PSG的合适替代方法。然而，它们可能在风险分层中发挥作用，或作为儿科OSA的筛查工具。需要进一步研究以确定这些指标的联合使用是否能够预测OSA。
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