双层PAP改变青少年的生活

Sleep Disorders Pub Date : 2019-08-01 DOI:10.1093/MED/9780190671099.003.0049

F. Royce, V. Shah

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引用次数: 0

摘要

本章探讨肥胖与儿童和青少年严重睡眠呼吸障碍的治疗选择之间的相互作用。本文综述了阻塞性睡眠呼吸暂停和低通气的生理学，以及分压二氧化碳监测在评估肥胖儿童睡眠呼吸障碍中的重要性。它讨论了儿童阻塞性睡眠呼吸暂停/通气不足的各种治疗方案的有效性、依从性和临床结果，包括腺扁桃体切除术、气道正压(PAP)治疗和体重减轻。它还回顾了目前关于新一代自动PAP装置及其在儿童阻塞性睡眠呼吸暂停中的作用的文献。最后，讨论了氧疗在小儿阻塞性睡眠呼吸暂停治疗中的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Bilevel PAP Transforms a Teen’s Life

This chapter examines the interplay between obesity and the selection of treatment for severe sleep obstructed breathing in children and adolescents. It reviews the physiology of obstructive sleep apnea and hypoventilation, as well as the importance of partial-pressure carbon dioxide monitoring in evaluating sleep disordered breathing in obese children. It discusses the effectiveness, adherence, and clinical outcomes of various treatment options for pediatric obstructive sleep apnea/hypoventilation, including adenotonsillectomy, positive airway pressure (PAP) therapy, and weight loss. It also reviews current literature on newer-generation, autotitrating PAP devices and their role in pediatric obstructive sleep apnea. Finally, it discusses the role of oxygen therapy in the management of pediatric obstructive sleep apnea.

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来源期刊

Sleep Disorders

自引率

0.00%

发文量

审稿时长

21 weeks

期刊介绍： Sleep Disorders is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to all aspects of sleep disorders.