阻塞性睡眠呼吸暂停患儿口腔呼吸观察等待无效。

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2025-05-01 Epub Date: 2023-03-22 DOI:10.1080/08869634.2023.2180984

Zhihuai Dong, Jing Ye, Mang Xiao, Huihua You

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引用次数: 0

摘要

目的：探讨观察等待法对阻塞性睡眠呼吸暂停（OSA）患儿口腔呼吸的效果。方法：儿童腺扁桃体切除术试验（CHAT）数据集中的儿童根据所接受的治疗分为两组。选择OSA-18生活质量调查中的一个问题来评估口腔呼吸的严重程度。结果：共纳入392例患儿（腺扁桃体切除术组197例，观察等待组195例）。呼吸暂停低通气指数（AHI）与口腔呼吸严重程度无显著相关性，r= 0.09,p= 0.073。观察等待组患者口腔呼吸评分基线与随访比较差异无统计学意义（p = .555）。结论：对轻度OSA患儿进行口部呼吸的观察等待是无效的。对于轻度呼吸暂停但严重口呼吸的儿童，应谨慎选择观察等待。

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Ineffectiveness of watchful waiting on mouth breathing in children with obstructive sleep apnea.

Objective: To investigate the effectiveness of watchful waiting on mouth breathing in children with OSA.

Methods: Children in the Childhood Adenotonsillectomy Trial (CHAT) dataset were divided into two groups according to the treatment they received. One question in the OSA-18 Quality-of-Life Survey was chosen to evaluate the severity of mouth breathing.

Results: In total, 392 children (adenotonsillectomy group, n = 197 and watchful waiting group, n = 195) were enrolled in the study. There was no significant correlation between the Apnea-Hypopnea Index (AHI) and the severity of mouth breathing, $r = .09, p = .073$ . In watchful waiting group, there is no statistically significant difference of mouth breathing score (p = .555) between baseline and followup.

Conclusions: The watchful waiting of mouth breathing in children with less severe OSA is ineffective. More caution should be taken to choose watchful waiting for children with mild OSA but severe mouth breathing.

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.