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首页> 外文期刊>BMC Pediatrics >Habitual snoring and atopic state: correlations with respiratory function and teeth occlusion
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Habitual snoring and atopic state: correlations with respiratory function and teeth occlusion

机译：习惯性打nor和特应性状态：与呼吸功能和牙齿咬合的关系

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Background Allergy represents a risk factor at the base of sleep-disordered breathing in pediatric age. Among allergic diseases, the atopy is characterized by a tendency to be “hyperallergic.” Sleep-disordered breathing is also known in orthodontics as correlated with the morphology of craniofacial complex. The aim of this study was to investigate the relation between atopy and sleep-disordered breathing (oral breathers with habitual snoring), comparing atopic children with sleep-disordered breathing (test group) with nonatopic ones with sleep-disordered breathing (control group), in the prevalence of dento-skeletal alterations and other risk factors that trigger sleep-disordered breathing, such as adenotonsillar hypertrophy, turbinate hypertrophy, obesity, and alteration of oxygen arterial saturation. Methods In a group of 110 subjects with sleep-disordered breathing (6 to 12 years old), we grouped the subjects into atopic (test group, 60 subjects) and nonatopic (control group, 50 subjects) children and compared the data on the following: skin allergic tests, rhinoscopy, rhinomanometry, night home pulsoxymetry, body mass index, and dento-facial alterations. Results Even if our results suggest that atopy is not a direct risk factor for sleep-disordered breathing, the importance of a physiologic nasal respiration in the pathogenesis of sleep-disordered breathing seems to be demonstrated in our study by the higher prevalence of hypertrophy in the adenotonsillar lymphatic tissue, odontostomatological alterations, alterations of the oxygen saturation to pulsoxymetry, and higher prevalence of obesity observed in our children with sleep-disordered breathing, in percentages higher than that of the general pediatric population previously observed in the literature. Conclusions The importance of a physiologic nasal respiration in the pathogenesis of sleep-disordered breathing is demonstrated in our study.
机译：背景过敏是小儿年龄睡眠呼吸障碍的危险因素。在过敏性疾病中，特应性疾病的特征在于具有“高过敏性”的趋势。睡眠障碍性呼吸在正畸学中也与颅面复合体的形态有关。这项研究的目的是研究特应性睡眠呼吸障碍与睡眠呼吸紊乱（习惯性打s的口腔呼吸器）之间的关系，将特应性睡眠呼吸障碍儿童（测试组）与非特应性睡眠呼吸障碍儿童（对照组）进行比较，牙本质骨骼变化和其他触发睡眠呼吸障碍的危险因素的流行，例如腺扁桃体肥大，鼻甲肥大，肥胖和氧动脉饱和度改变。方法将110名睡眠呼吸障碍（6至12岁）受试者分为两组，将其分为特应性（测试组，60名受试者）和非特应性（对照组，50名受试者），并比较以下数据：皮肤过敏性测试，鼻镜检查，鼻压测定法，夜间家庭脉搏测定法，体重指数和牙颌面改变。结果即使我们的结果表明特应性不是睡眠呼吸障碍的直接危险因素，生理性鼻呼吸在睡眠呼吸障碍的发病机制中的重要性似乎也已在我们的研究中得到了证实，即肥大的患病率较高。在我们睡眠呼吸障碍的儿童中观察到腺扁桃体淋巴管组织，口腔口腔医学的改变，氧饱和度对脉搏测定法的改变以及肥胖症的患病率更高，其百分比高于文献中先前观察到的一般儿科人群的百分比。结论我们的研究证明了生理性鼻呼吸在睡眠呼吸障碍的发病机制中的重要性。

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