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关键词:
- 睡眠呼吸暂停,阻塞性 /
- 儿童 /
- 外科手术 /
- 药物疗法 /
- 无创正压通气
Abstract: Obstructive sleep apnea(OSA) is a common disease in otolaryngology in children, and its incidence rate is increasing gradually, which seriously endangers children's growth and development, behavior cognition and so on. There are many etiologies of OSA in children. Besides tonsil hypertrophy and/or adenoid hypertrophy, the most common one, there are many different levels of airway obstruction caused by inflammation, dysplasia, obesity and other reasons. Different individualized treatment plan should be taken according to different etiology. This paper summarizes the different treatment methods of children OSA. -
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[1] 中国儿童OSA诊断与治疗指南制订工作组, 中华医学会耳鼻咽喉头颈外科学分会小儿学组, 中华医学会儿科学分会呼吸学组, 等. 中国儿童阻塞性睡眠呼吸暂停诊断与治疗指南(2020)[J]. 中华耳鼻咽喉头颈外科杂志, 2020, 20(8): 883-900. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXZ202008005.htm
[2] Baugh RF, Archer SM, Mitchell RB, et al. Clinical practice guideline: tonsillectomy in children[J]. Otolaryngol Head Neck Surg, 2011, 144(1 Suppl): S1-30.
[3] Mitchell RB, Archer SM, Ishman SL, et al. Clinical Practice Guideline: Tonsillectomy in Children(Update)-Executive Summary[J]. Otolaryngol Head Neck Surg, 2019, 160(2): 187-205. doi: 10.1177/0194599818807917
[4] 尹国平, 叶京英, 顼晋昆, 等. 阻塞性睡眠呼吸暂停低通气综合征患儿手术前后睡眠监测结果特征分析[J]. 中华耳鼻咽喉头颈外科杂志, 2019, 54(5): 367-372. doi: 10.3760/cma.j.issn.1673-0860.2019.05.010
[5] Chinnadurai S, Jordan AK, Sathe NA, et al. Tonsillectomy for Obstructive Sleep-Disordered Breathing: A Meta-analysis[J]. Pediatrics, 2017, 139(2): e20163491. doi: 10.1542/peds.2016-3491
[6] Taylor HG, Bowen SR, Beebe DW, et al. Cognitive Effects of Adenotonsillectomy for Obstructive Sleep Apnea[J]. Pediatrics, 2016, 138(2): e20154458. doi: 10.1542/peds.2015-4458
[7] Lee HS, Yoon HY, Jin HJ, et al. The safety and efficacy of powered intracapsular tonsillectomy in children: A meta-analysis[J]. Laryngoscope, 2018, 128(3): 732-744. doi: 10.1002/lary.26886
[8] Mukhatiyar P, Nandalike K, Cohen HW, et al. Intracapsular and Extracapsular Tonsillectomy and Adenoidectomy in Pediatric Obstructive Sleep Apnea[J]. JAMA Otolaryngol Head Neck Surg, 2016, 142(1): 25-31. doi: 10.1001/jamaoto.2015.2603
[9] Cohn JE, Relyea GE, Daggumati S, et al. Multilevel Sleep Surgery Including the Palate in Nonsyndromic, Neurologically Intact Children with Obstructive Sleep Apnea[J]. OTO Open, 2019, 3(2): 2473974X19851473.
[10] 邓梦夏, 邹宇, 林小燕, 等. 新型鼻腔支撑管在手术治疗婴儿双侧先天性后鼻孔闭锁的应用[J]. 暨南大学学报(自然科学与医学版), 2019, 40(4): 339-345. https://www.cnki.com.cn/Article/CJFDTOTAL-JNDX201904009.htm
[11] Manickam PV, Shott SR, Boss EF, et al. Systematic review of site of obstruction identification and non-CPAP treatment options for children with persistent pediatric obstructive sleep apnea[J]. Laryngoscope, 2016, 126(2): 491-500. doi: 10.1002/lary.25459
[12] Cielo CM, Duffy KA, Vyas A, et al. Obstructive sleep apnoea and the role of tongue reduction surgery in children with Beckwith-Wiedemann syndrome[J]. Paediatr Respir Rev, 2018, 25: 58-63.
[13] 田莉, 林镝. 糖皮质激素受体在阻塞性睡眠呼吸暂停低通气综合征儿童腺样体组织中的表达[J]. 南京医科大学学报(自然科学版), 2015, 35(10): 1429-1431. https://www.cnki.com.cn/Article/CJFDTOTAL-NJYK201510023.htm
[14] Bluher AE, Brawley CC, Cunningham TD, et al. Impact of montelukast and fluticasone on quality of life in mild pediatric sleep apnea[J]. Int J Pediatr Otorhinolaryngol, 2019, 125: 66-70. doi: 10.1016/j.ijporl.2019.06.027
[15] 陈曦, 李进让. 鼻用激素治疗儿童阻塞性睡眠呼吸暂停低通气综合征疗效的Meta分析[J]. 山东大学耳鼻喉眼学报, 2015, 29(2): 9-11, 14. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYU201502002.htm
[16] Liming BJ, Ryan M, Mack D, et al. Montelukast and Nasal Corticosteroids to Treat Pediatric Obstructive Sleep Apnea: A Systematic Review and Meta-analysis[J]. Otolaryngol Head Neck Surg, 2019, 160(4): 594-602. doi: 10.1177/0194599818815683
[17] Ji T, Lu T, Qiu Y, et al. The efficacy and safety of montelukast in children with obstructive sleep apnea: a systematic review and meta-analysis[J]. Sleep Med, 2021, 78: 193-201. doi: 10.1016/j.sleep.2020.11.009
[18] Watach AJ, Xanthopoulos MS, Afolabi-Brown O, et al. Positive airway pressure adherence in pediatric obstructive sleep apnea: A systematic scoping review[J]. Sleep Med Rev, 2020, 51: 101273. doi: 10.1016/j.smrv.2020.101273
[19] Parmar A, Baker A, Narang I. Positive airway pressure in pediatric obstructive sleep apnea[J]. Paediatr Respir Rev, 2019, 31: 43-51.
[20] 杨微, 郑莉, 许志飞. 中重度阻塞性睡眠呼吸暂停低通气综合征儿童无创正压通气治疗长期随访研究[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 19-24. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYU201802006.htm
[21] Strollo PJ Jr, Soose RJ, Maurer JT, et al. Upper-airway stimulation for obstructive sleep apnea[J]. N Engl J Med, 2014, 370(2): 139-149. doi: 10.1056/NEJMoa1308659
[22] Heiser C, Steffen A, Boon M, et al. Post-approval upper airway stimulation predictors oftreatment effectiveness in the ADHERE registry[J]. Eur Respir J, 2019, 53(1): 1801405. . doi: 10.1183/13993003.01405-2018
[23] Caloway CL, Diercks GR, Keamy D, et al. Update on hypoglossal nerve stimulation in children with down syndrome and obstructive sleep apnea[J]. Laryngoscope, 2020, 130(4): E263-E267.
[24] Riaz M, Certal V, Nigam G, et al. Nasal Expiratory Positive Airway Pressure Devices(Provent)for OSA: A Systematic Review and Meta-Analysis[J]. Sleep Disord, 2015, 2015: 734798.
[25] Kureshi SA, Gallagher PR, McDonough JM, et al. Pilot study of nasal expiratory positive airway pressure devices for the treatment of childhood obstructive sleep apnea syndrome[J]. J Clin Sleep Med, 2014, 10(6): 663-669. doi: 10.5664/jcsm.3796
[26] Carvalho FR, Lentini-Oliveira DA, Prado LB, et al. Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children[J]. Cochrane Database Syst Rev, 2016, 10: CD005520.
[27] Camacho M, Chang ET, Song SA, et al. Rapid maxillary expansion for pediatric obstructive sleep apnea: A systematic review and meta-analysis[J]. Laryngoscope, 2017, 127(7): 1712-1719. doi: 10.1002/lary.26352
[28] de Felício CM, da Silva Dias FV, Trawitzki L. Obstructive sleep apnea: focus on myofunctional therapy[J]. Nat Sci Sleep, 2018, 10: 271-286. doi: 10.2147/NSS.S141132
[29] Villa MP, Evangelisti M, Martella S, et al. Can myofunctional therapy increase tongue tone and reduce symptoms in children with sleep-disordered breathing?[J]. Sleep Breath, 2017, 21(4): 1025-1032. doi: 10.1007/s11325-017-1489-2
[30] 张丰珍, 王桂香, 许志飞, 等. 儿童重度OSAHS睡眠结构及相关因素分析[J]. 临床耳鼻咽喉头颈外科杂志, 2019, 33(5): 441-446. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH201905015.htm
[31] Verhelst E, Clinck I, Deboutte I, et al. Positional obstructive sleep apnea in children: prevalence and risk factors[J]. Sleep Breath, 2019, 23(4): 1323-1330. doi: 10.1007/s11325-019-01853-z
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