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首页> 外文期刊>The Annals of otology, rhinology, and laryngology >Obstructive sleep apnea syndrome: a child is not just a small adult.
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Obstructive sleep apnea syndrome: a child is not just a small adult.

机译：阻塞性睡眠呼吸暂停综合症：一个孩子不仅仅是一个很小的成年人。

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OBJECTIVES: Pediatric obstructive sleep apnea syndrome (OSAS), like adult OSAS, is characterized by intermittent upper airway collapse during sleep and is associated with anatomic and neuromuscular factors. However, the clinical manifestations, diagnostic criteria, and polysomnographic findings of OSAS in children are likely to be different from those in adults. The purpose of this study was to identify the characteristics that distinguish the clinical manifestations and polysomnographic findings of OSAS in children from those in adults. METHODS: The study population consisted of 34 children (mean age, 7.6 years; range, 4 to 16 years) with OSAS and 33 adults (mean age, 40.1 years; range, 18 to 58 years) with OSAS. We compared various clinical manifestations, such as body mass index, tonsil size, severity of symptoms and signs, and polysomnographic data, between these groups. RESULTS: Obesity was more common among the adults, whereas tonsillar hypertrophy was more common among the children. There were significant differences between the groups in the severity of symptoms and signs, including witnessed apnea, daytime sleepiness, morning headache, memory reduction, and daytime fatigue. In the children with OSAS, slow-wave sleep was relatively well preserved, and respiratory events such as apnea and hypopnea occurred mainly during rapid eye movement sleep. CONCLUSIONS: The clinical manifestations and polysomnographic findings in children with OSAS differ from those in adults with OSAS.
机译：目的：小儿阻塞性睡眠呼吸暂停综合症（OSAS）与成人OSAS一样，其特征是睡眠期间间歇性上呼吸道塌陷，并与解剖和神经肌肉因素有关。但是，儿童中OSAS的临床表现，诊断标准和多导睡眠图检查结果可能与成年人不同。这项研究的目的是确定可区分儿童和成人OSAS的临床表现和多导睡眠图检查结果的特征。方法：研究人群包括34名OSAS儿童（平均年龄7.6岁;范围4至16岁）和33名OSAS成人（平均年龄40.1岁;范围18至58岁）。我们比较了这些组之间的各种临床表现，例如体重指数，扁桃体大小，症状和体征的严重程度以及多导睡眠图数据。结果：肥胖在成年人中更为普遍，而扁桃体肥大在儿童中更为普遍。两组之间在症状和体征的严重程度方面存在显着差异，包括目击性呼吸暂停，白天嗜睡，早晨头痛，记忆力减退和白天疲劳。在患有OSAS的儿童中，慢波睡眠的保存相对较好，呼吸事件（如呼吸暂停和呼吸不足）主要发生在快速眼动睡眠期间。结论：OSAS患儿的临床表现和多导睡眠图检查结果与OSAS患儿不同。

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