正畸患者出现睡眠呼吸障碍的风险：儿童与青少年之间的比较

IF 2.8 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

European journal of orthodontics Pub Date : 2024-09-17 DOI:10.1093/ejo/cjae049

Patrícia Jost, Ana Lurdes Conte, Adriana de Oliveira Lira, Fernando Pugliese, Juan Martin Palomo, Beatriz Quevedo, Daniela Garib

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引用次数: 0

摘要

目的本研究旨在使用儿科睡眠问卷（PSQ）筛查工具评估正畸患者发生睡眠呼吸障碍（SDB）的风险，并评估性别、年龄和正畸治疗对受试者队列的影响。方法邀请 245 名 5-18 岁（11.4 ± 3.3 岁）患者的家长参与研究，回答 PSQ 问卷中有关打鼾、嗜睡和行为的 22 个问题。对全部样本计算了高风险和低风险的频率。多元逻辑回归用于评估性别、年龄、正畸治疗、上颌骨快速扩张（RME）和体重指数（BMI）与 SDB 的关系。所有检验的显著性水平均为 5%（P < .05）。结果在 34.3% 的样本中发现了 SDB 的高风险。在 SDB 风险方面未发现性别和体重指数差异。SDB 的高风险与年龄较小（OR = 1.889，P = .047）、正畸治疗前阶段（OR = 3.754，P = .02）和 RME（OR = 4.157，P = .001）明显相关。局限性缺乏耳鼻喉相关病史。结论儿童患 SDB 的高风险概率比青少年高 1.8。正畸治疗前的患者和接受 RME 治疗的患者患 SDB 的风险较高。

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Risk of sleep-disordered breathing in orthodontic patients: comparison between children and adolescents

Objective The aim of this study was to assess the risk of sleep-disordered breathing (SDB) in orthodontic patients and to evaluate the influence of sex, age, and orthodontic treatment in a cohort of subjects using the Pediatric Sleep Questionnaire (PSQ) screening tool. Methods Parents of 245 patients aged 5–18 years (11.4 ± 3.3 years) were invited to participate in the study by answering the PSQ, which has 22 questions about snoring, sleepiness, and behavior. The frequency of high and low risk was calculated for the full sample. Multiple logistic regression was used to assess the association among sex, age, orthodontic treatment, rapid maxillary expansion (RME), and body mass index (BMI) with SDB. A significance level of 5% (P < .05) was adopted in all tests. Results A high risk of SDB was found in 34.3% of the sample. No sex and BMI difference was found for the risk of SDB. The high risk of SDB was significantly associated with younger ages (OR = 1.889, P = .047), pre-orthodontic treatment phase (OR = 3.754, P = .02), and RME (OR = 4.157, P = .001). Limitations Lack of ear, nose and throat-related medical history. Conclusion Children showed a 1.8 higher probability of having a high risk of SDB compared with adolescents. Patients before orthodontic treatment and patients submitted to RME showed a high risk of SDB.

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来源期刊

European journal of orthodontics 医学-牙科与口腔外科

CiteScore

5.50

自引率

7.70%

发文量

审稿时长

4-8 weeks

期刊介绍： The European Journal of Orthodontics publishes papers of excellence on all aspects of orthodontics including craniofacial development and growth. The emphasis of the journal is on full research papers. Succinct and carefully prepared papers are favoured in terms of impact as well as readability.