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肥胖儿童阻塞性睡眠呼吸暂停综合征的诊治进展 被引量:1
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作者 程涵蓉 李栋才 +1 位作者 MacarioCamacho Peter J.Koltai 《亚洲儿科病例研究》 2017年第3期11-18,共8页
近年来,肥胖已经成为儿童中的常见病。肥胖儿童阻塞性睡眠呼吸暂停综合征(OSAS)的发病率较高。本综述的目的是评估OSAS肥胖儿童的危险因素,并讨论诊断和治疗的最新进展。对文献的回顾表明儿科OSAS的诊断存在不足。最佳治疗策略应同时针... 近年来,肥胖已经成为儿童中的常见病。肥胖儿童阻塞性睡眠呼吸暂停综合征(OSAS)的发病率较高。本综述的目的是评估OSAS肥胖儿童的危险因素,并讨论诊断和治疗的最新进展。对文献的回顾表明儿科OSAS的诊断存在不足。最佳治疗策略应同时针对OSAS和肥胖。治疗方案包括行为改变、气道正压(PAP)装置和手术。手术的成功率存在个体差异,并且有手术后体重增加的风险。对于有手术失败的儿童,可以使用睡眠内窥镜检查进一步评估阻塞的区域,从而确定手术方案。减肥可作为一线治疗选择的替代方案,这需要基于家庭的行为干预。儿科医生应该意识到其在肥胖儿童中的流行率增加,并对肥胖患儿进行OSAS的筛查。 展开更多
关键词 儿童 肥胖 睡眠呼吸暂停 诊断 治疗
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Cautery-assisted palatal stiffening operation for obstructive sleep apnea: A systematic review and meta-analysis
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作者 Charles M.Llewellyn Michael W.Noller Macario Camacho 《World Journal of Otorhinolaryngology-Head and Neck Surgery》 2019年第1期49-56,共8页
Objective:To systematically review outcomes for cautery-assisted palatal stiffening operation (CAPSO) as a treatment for adult obstructive sleep apnea (OSA).Methods:Five databases (including PubMed/MEDLINE) were searc... Objective:To systematically review outcomes for cautery-assisted palatal stiffening operation (CAPSO) as a treatment for adult obstructive sleep apnea (OSA).Methods:Five databases (including PubMed/MEDLINE) were searched through July 12,2017.Results:Eight studies (307 patients) met criteria.Overall,CAPSO alone (80 patients) improved AHI from a mean ± standard deviation (M±SD) of (16.8±11.9) to (9.9±10.9) events/h (41.1% decrease).Mixed CAPSO with/without tonsillectomy (92 patients) improved AHI from a M] SD of (24.8 ± 12.6) to (10.6 ± 9.5) events/h (61.7% decrease).CAPSO with expansion pharyngoplasty (EP),(78 patients) improved AHI from a M ± SD of (26.3 ± 17.7) to (12.6 ± 5.8) events/h (52.1% decrease).CAPSO alone (90 patients) improved lowest oxygen saturation (LSAT) by 5.4 points.Mixed CAPSO with/without tonsillectomy (77 patients) improved LSAT by 10.6 points,and CAPSO with EP (78 patients) improved LSAT by 5.2 points.Sleepiness improved (182 patients) from an Epworth Sleepiness Scale score of 11.8 to 5.1,P < 0.001.Snoring reduced (120 patients) from 7.9 to 2.5 on visual analog scales (0-10 scale),P < 0.001.Conclusions:Apnea-hypopnea index has improved by 41.0% for CAPSO alone,61.7% for CAPSO with tonsillectomy and 52.1% for CAPSO with expansion pharyngoplasty.Additionally,lowest oxygen saturation,sleepiness and snoring have also improved after CAPSO. 展开更多
关键词 Surgery SLEEP APNEA SYNDROMES Systematic review META-ANALYSIS
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