山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (2): 6-8.doi: 10.6040/j.issn.1673-3770.0.2017.534
• 儿童睡眠呼吸障碍诊断与治疗新进展专题笔谈 • 上一篇 下一篇
刘大波
LIU Dabo
摘要: 有关儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的研究越来越深入,但既往的研究领域重点关注的是呼吸参数的改变,如呼吸暂停低通气指数、最低血氧饱和度等,有关OSAHS对儿童睡眠结构影响的研究甚少,且研究的结论存在争议。OSAHS儿童存在严重的睡眠结构紊乱,今后应对此进行广泛而深入的研究。
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[1] Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective[J]. Am J Respir Crit Care Med, 2002, 165(9):1217-1239. [2] Bonuck KA, Chervin RD, Cole TJ, et al. Prevalence and persistence of sleep disordered breathing symptoms in young children: a 6-year population-based cohort study[J]. Sleep, 2011, 34(7):875-884. [3] Tan HL, David G, Leila KG. Obstructive sleep apnea in children: a critical update[J]. Nat Sci Sleep, 2013, 5:109-123. DOI:10.2147/NSS.S51907. [4] Beck SE, Marcus CL. Pediatric polysomnography[J]. Sleep Med Clin, 2009, 4(3):393-406. [5] Iriarte J, Murie-Fernandez M, Toledo E, et al. Sleep structure in patients with periodic limb movements and obstructive sleep apnea syndrome[J]. J Clin Neurophysiol, 2009, 26(4):267-271. [6] Haba-Rubio J, Janssens JP, Rochat T, et al. Rapid eye movement-related disordered breathing: clinical and polysomnographic features[J]. Chest, 2005, 128(5):3350-3357. [7] Bower CM, Gungor A. Pediatric obstructive sleep apnea syndrome[J]. Otolaryngol Clin North Am,2000, 33(1):49-75. [8] Orr WC, Martin RJ, Imes NK, et al. Hypersomnolent and nonhypersomnolent patients with upper airway obstruction during sleep[J]. Chest, 1979, 75(4):418-422. [9] Garpestad E, Ringler J, Parker JA, et al. Sleep stage influences the hemodynamic response to obstructive apneas[J]. Am J Respir Crit Care Med, 1995, 152(1):199-203. [10] 刘大波,周丽枫,钟建文. 阻塞性睡眠呼吸暂停综合征儿童睡眠结构的改变[J].中华儿科杂志, 2004, 4(42):284-286. LIU Dabo, ZHOU Lifeng, ZHONG Jianwen. Changes of sleep architecture in children with obstructive sleep apnea syndrome[J]. Chin J Ped, 2004, 4(42):284-286. [11] 黄振云, 刘大波, 仇书要,等. 儿童阻塞性睡眠呼吸暂停低通气综合征脑电醒觉反应的临床研究[J]. 中华耳鼻咽喉头颈外科杂志, 2008, 43(12):929-934. HANG Zhenyun, LIU Dabo, QIU Shuyao, et al. Arousals in children with obstructive sleep apnea-hypopnea syndrome[J]. Chin J Otorhinolarynol Head Neck Surg, 2008, 43(12):929-934. [12] 黄振云, 刘大波, 钟建文,等. 睡眠呼吸障碍儿童脑电醒觉参数研究[J]. 中华耳鼻咽喉头颈外科杂志, 2012, 47(4):274-279. HUANG Zhenyun, LIU Dabo, ZHONG Jianwen, et al. Study of arousal index in children with sleep-disordered breathing[J]. Chin J Otorhinolarynol Head Neck Surg, 2012, 47(4):274-279. [13] Bower CM, Gungor A. Pediatric obstructive sleep apnea syndrome[J]. Otolaryngol Clin North Am, 2000, 33(1):49-75. [14] Spruyt K, Gozal D. REM and NREM sleep-state distribution of respiratory events in habitually snoring school-aged community children[J]. Sleep Medicine, 2012, 13(2):178-184. [15] Muraki M, Kitaguchi S, Ichihashi H, et al. Apnoea-hypopnoea index during rapid eye movement and non-rapid eye movement sleep in obstructive sleep apnoea[J]. J Int Med Res, 2008, 36(5):906-913. [16] 黄振云, 刘大波, 李志斌,等. 儿童阻塞性睡眠呼吸暂停低通气综合征合并与不合并注意缺陷/多动障碍的多导睡眠图的比较[J]. 中国实用儿科杂志, 2007, 22(4):261-263. HUANG Zhenyun, LIU Dabo, LI Zhibin, et al. Comparison of the sleep architecture and principal variables of PSG study in children with OSAHS either with or without ADHD[J]. Chin J Prac Ped, 2007, 22(4):261-263. |
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