Evaluation of sleep-disordered breathing in children and adolescents referred to the sleep ward of Qazvin children's hospital during 2014-2019

IF 1.3 Q3 PEDIATRICS

International Journal of Pediatrics Pub Date : 2021-10-26 DOI:10.22038/IJP.2021.58958.4598

S. Jalilolghadr, Manouchehr Taghiloo, E. Parsarad, Mohammad Taherahmadi, H. Taherahmadi

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Abstract

Background: Polysomnography is a gold standard method for examination of information obtained from physiological changes in the body related to sleep. The aim of this study was to diagnose respiratory disorders in children and adolescents with sleep disorders using polysomnography. Methods: In this cross-sectional retrospective study, the complete data of 112 children and adolescents aged 0-18 years that were referred to the sleep ward of Qazvin children's hospital due to sleep disorders were collected. The results of polysomnography and severity of obstructive sleep apnea (OSA) were determined. SPSS 21 software and frequency table were used to determine the prevalence of the variables. Results: The most common sleep disorder was restless sleep (68; 60.71%). One hundred and four (92.85%) patients had sleep apnea. Also, 66 (58.92%) patients with severe OSA, 19 (16.96%) patients with moderate OSA, 14 (12.5%) patients with mild OSA and 5 (4.46%) patients with central sleep apnea were observed. Eighty eight (78.57%) children had less than normal sleep efficiency (less than 90%) and 34 (30.35%) had normal and desirable sleep efficiency. Total adenotonsilectomy, medical therapy for OSA and non-invasive ventilation (NIV) were recommended for 46 (41.7%), 27 (24.10%) and 20 (17.85%) patients, respectively. Conclusion: Respiratory disorders symptoms during sleep were seen in our results, especially in children with a history of adenotonsillectomy. Based on the severity of symptoms, medication was prescribed for children. Referral of children suspected to sleep disorders to a physician by parents is essential for control and treatment of this disease.

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2014-2019年卡兹温儿童医院睡眠病房转介儿童和青少年睡眠呼吸障碍评估

背景：多导睡眠图是一种金标准方法，用于检查从与睡眠有关的身体生理变化中获得的信息。本研究的目的是使用多导睡眠图诊断患有睡眠障碍的儿童和青少年的呼吸系统疾病。方法：在这项横断面回顾性研究中，收集了112名0-18岁儿童和青少年的完整数据，这些儿童和青少年因睡眠障碍被转诊到Qazvin儿童医院的睡眠病房。对多导睡眠图的结果和阻塞性睡眠呼吸暂停（OSA）的严重程度进行了测定。使用SPSS 21软件和频率表来确定变量的患病率。结果：最常见的睡眠障碍是不安睡眠（68例；60.71%），104例（92.85%）患者有睡眠呼吸暂停。此外，观察到66名（58.92%）严重OSA患者、19名（16.96%）中度OSA患者，14名（12.5%）轻度OSA患者和5名（4.46%）中枢性睡眠呼吸暂停患者。88名（78.57%）儿童的睡眠效率低于正常水平（低于90%），34名（30.35%）儿童睡眠效率正常且理想。建议对46名（41.7%）、27名（24.10%）和20名（17.85%）患者分别进行全腺扁桃体切除术、OSA药物治疗和无创通气（NIV）。结论：在我们的研究结果中发现了睡眠中的呼吸系统疾病症状，尤其是有腺扁桃体切除术史的儿童。根据症状的严重程度，给儿童开了药。父母将怀疑患有睡眠障碍的儿童转诊给医生对控制和治疗这种疾病至关重要。

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来源期刊

International Journal of Pediatrics PEDIATRICS-

CiteScore

3.90

自引率

0.00%

发文量

审稿时长

4 weeks

期刊介绍： International Journal of Pediatrics is a peer-reviewed, open access journal that publishes original researcharticles, review articles, and clinical studies in all areas of pediatric research. The journal accepts submissions presented as an original article, short communication, case report, review article, systematic review, or letter to the editor.