Obstructive sleep apnea in children

被引：4
作者：
Hoban T.F. [1 ]
机构：
[1] Department of Pediatrics, Women's Hospital, Ann Arbor, MI 48109
来源：
Current Treatment Options in Neurology | 2005年 / 7卷 / 5期
关键词：
Obstructive Sleep Apnea; Continuous Positive Airway Pressure; Obstructive Sleep Apnea Syndrome; Nasal Continuous Positive Airway Pressure; Severe Obstructive Sleep Apnea Syndrome;
D O I：
10.1007/s11940-005-0028-9
中图分类号：
学科分类号：
摘要：
Despite increasing recognition of childhood obstructive sleep apnea syndrome (OSAS) as a significant public health problem, treatment of the condition remains inconsistent. Some children are screened using polysomnography and treated only when objective respiratory disturbances are identified. Many others receive adenotonsillectomy based only on signs and symptoms of upper airway obstruction without ever having a formal sleep study. Outcome-based data regarding the effectiveness of adenotonsillectomy, continuous positive airway pressure, and other treatments for childhood OSAS remain extremely limited. In this article, the major therapeutic options for treatment of childhood OSAS are reviewed. Adenotonsillectomy remains the most frequently used treatment for uncomplicated OSAS in children, but residual airway obstruction persists in a notable minority of patients. Nasal continuous positive airway pressure is used for children who are not good surgical candidates or who have failed previous surgical treatment, but is sometimes not tolerated by young children or their parents. Various alternative treatments are used on an individualized basis for children who cannot use the two first-line therapies for sleep apnea. Copyright © 2005 by Current Science Inc.
引用
收藏
页码：353 / 361
页数：8
相关论文
共 60 条
  • [1] Newacheck P.W., Taylor W.R., Childhood chronic illness: Prevalence, severity, and impact, Am J Public Health, 82, pp. 364-371, (1992)
  • [2] Guilleminault C., Khramtsov A., Upper airway resistance syndrome in children: A clinical review, Semin Pediatr Neurol, 8, pp. 207-215, (2001)
  • [3] Marcus C.L., Sleep-disordered breathing in children, Am J Resp Critical Care Med, 164, pp. 16-30, (2001)
  • [4] Messner A.H., Pelayo R., Pediatric sleep-related breathing disorders, Am J Otolaryngol, 21, pp. 98-107, (2000)
  • [5] Redline S., Tishler P.V., Schluchter M., Et al., Risk factors for sleep-disordered breathing in children. Associations with obesity, race, and respiratory problems, Am J Resp Crit Care Med, 159, pp. 1527-1532, (1999)
  • [6] Chervin R.D., Archbold K.H., Dillon J.E., Et al., Inattention, hyperactivity, and symptoms of sleep-disordered breathing, Pediatrics, 109, pp. 449-456, (2002)
  • [7] Gozal D., Sleep-disordered breathing and school performance in children, Pediatrics, 102, pp. 616-620, (1998)
  • [8] Messner A.H., Evaluation of obstructive sleep apnea by polysomnography prior to pediatric adenotonsillectomy, Arch Otolaryngol Head Neck Surg, 125, pp. 353-355, (1999)
  • [9] Pelayo R., Powell N., Guilleminault C., Evaluation of obstructive sleep apnea by polysomnography prior to pediatric adenotonsillectomy, Arch Otolaryngol Head Neck Surg, 125, pp. 1282-1283, (1999)
  • [10] Rosen G.M., Muckle R.P., Mahowald M.W., Et al., Post-operative respiratory compromise in children with obstructive sleep apnea syndrome: Can it be anticipated?, Pediatrics, 93, pp. 784-788, (1994)
123456