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摘要: 药物诱导睡眠内镜(drug-induced sleep endoscopy，DISE)是指使用药物诱导接近于人的生理睡眠状态下进行的一种内镜检查，近年来在临床上的应用日益广泛，本文从儿童DISE适应证、麻醉方案及结果判定等方面的研究进展进行综述，为儿童DISE的拓展应用提供依据。Abstract: Drug-induced sleep endoscopy (DISE) is an endoscopic examination performed under conditions similar to human physiological sleep induced by drugs. In recent years, its clinical application has become increasingly widespread. This article reviews the research progress on the indications, anesthesia, and outcome determination of pediatric DISE, providing a basis for the application of pediatric DISE.
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Key words:
- drug-induced sleep endoscopy /
- obstructive sleep apnea /
- pediatric
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表 1 常用的5种儿童DISE评分系统比较
评分系统 VOTE Chan SERS Fishman Boudewyns 检查部位/个 4 6 6 5 6 鼻咽 否 是 是 是 是 腭咽 是 是 是 否 是 口咽 是 是 是 是 是 喉咽 是 否 是 否 是 舌根 是 是 否 是 否 声门上 否 是 否 是 否 杓状软骨 否 否 是 否 是 鼻腔 否 是 是 是 是 舌扁桃体 否 可见/不可见 否 否 否 注：“是”表示在评估范围内，“否”表示不在评估范围内。 
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表 2 阻塞程度分级
VOTE Chan SERS Fishman Boudewyns 静态 动态 0：无 0：无 0：无阻塞 0：无 0：无 0：不存在 1：部分 1：0~50% +1：部分 1：轻度 1：<50% 1：存在 2：完全 2：50%~99% +2：完全 2：中度 2：50%~75% X：不可见 3：完全 3：重度 3：>75%
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