儿童夜间遗尿与阻塞性睡眠呼吸暂停之间的关系。
The Relationship between Nocturnal Enuresis and Obstructive Sleep Apnea in Children.
作者信息
Andreu-Codina María, Nikolic-Jovanovic Danica, Esteller Eduard, Clusellas Núria, Artés Montserrat, Moyano Javier, Puigdollers Andreu
机构信息
Department of Orthodontics, Faculty of Dentistry, Universitat Internacional de Catalunya, 08195 Barcelona, Spain.
ENT Department, Hospital Universitari General de Catalunya, 08195 Barcelona, Spain.
出版信息
Children (Basel). 2024 Sep 23;11(9):1148. doi: 10.3390/children11091148.
BACKGROUND
The aim of this study is to determine the prevalence of nocturnal enuresis (NE) in children with obstructive sleep apnea (OSA), the effect of adenotonsillectomy (AT) and the width of the arches, and to compare them with control children without respiratory problems.
METHODS
Children from 2 to 12 years old were divided into three groups: children with OSA and NE (n = 51), children with OSA without NE (n = 79), and the control group (n = 168). NE was defined as at least one bedwetting incident per month. Arch widths were measured at the baseline and one year after. OSA was diagnosed by means of polysomnography, and the apnea-hypopnea index (AHI) was obtained. Parents completed the Pediatric Sleep Questionnaire (PSQ) to classify their children into those with and without NE.
RESULTS
NE was present in 39.2% of children with OSA compared to 28% in the control group ( = 0.04). After AT, 49% of the children with OSA and NE significantly improved. Both OSA groups had narrower arch widths than the control group ( = 0.012), with the NE group having the narrowest widths. NE is more prevalent in children with OSA and should be considered one of the first signs of breathing disorders. Adenotonsillectomy reduces NE in about half of the affected children. Both arch widths are narrower in children with OSA, particularly in those with NE.
背景
本研究旨在确定阻塞性睡眠呼吸暂停（OSA）患儿夜间遗尿（NE）的患病率、腺样体扁桃体切除术（AT）的效果以及腭弓宽度，并将其与无呼吸问题的对照儿童进行比较。
方法
将2至12岁的儿童分为三组：患有OSA和NE的儿童（n = 51）、患有OSA但无NE的儿童（n = 79）以及对照组（n = 168）。NE定义为每月至少发生一次尿床事件。在基线和一年后测量腭弓宽度。通过多导睡眠图诊断OSA，并获得呼吸暂停低通气指数（AHI）。家长完成儿童睡眠问卷（PSQ），将他们的孩子分为有NE和无NE两类。
结果
OSA患儿中39.2%存在NE，而对照组为28%（P = 0.04）。AT后，49%患有OSA和NE的儿童有显著改善。两个OSA组的腭弓宽度均比对照组窄（P = 0.012），其中NE组的宽度最窄。NE在OSA患儿中更为普遍，应被视为呼吸障碍的首要迹象之一。腺样体扁桃体切除术可使约一半受影响儿童的NE症状减轻。OSA患儿的两个腭弓宽度均较窄，尤其是那些患有NE的患儿。
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