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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Objective sleepiness measures in pediatric obstructive sleep apnea.
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Objective sleepiness measures in pediatric obstructive sleep apnea.

机译：儿科阻塞性睡眠呼吸暂停的客观嗜睡措施。

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摘要

OBJECTIVES: Excessive daytime sleepiness (EDS) occurs frequently in adult patients with obstructive sleep apnea (OSA). However, the incidence of EDS in children with OSA is unknown. METHODS: To determine overall daytime sleepiness in pediatric OSA, 54 children with OSA, 14 children with primary snoring (PS), and 24 controls (C) underwent an overnight diagnostic polysomnogram followed the next day by a multiple sleep latency test. RESULTS: The mean apnea index was 15.1 +/- 9.5 standard deviation in OSA, 1.1 +/- 0.5 in PS, and 0.1 +/- 0.3 in C. Mean sleep latencies were 23.7 +/- 3.0 minutes in C, 23.7 +/- 3.1 minute in PS, and 20.0 +/- 7.1 minute in OSA patients. However, only 7 children with OSA had mean sleep latencies <10 minutes. In addition, shorter sleep latencies were more likely to occur in more obese OSA patients and those with more severe apnea index, and oxyhemoglobin desaturation. CONCLUSIONS: Shortened sleep latencies occur in children with OSA, but EDS is infrequent and tends to develop among more severe and/or obese patients.
机译：目的：成年阻塞性睡眠呼吸暂停（OSA）患者经常发生白天过度嗜睡（EDS）。然而，OSA患儿EDS的发生率尚不清楚。方法：为了确定小儿OSA的总体白天嗜睡情况，对54例OSA儿童，14例初发打（PS）的儿童和24例对照（C）进行了夜间多导睡眠图诊断，第二天进行了多次睡眠潜伏期测试。结果：OSA的平均呼吸暂停指数为15.1 +/- 9.5标准偏差，PS的平均呼吸暂停指数为1.1 +/- 0.5，C的为0.1 +/- 0.3.C的平均睡眠潜伏期为23.7 +/- 3.0分钟，23.7 + / -PS为3.1分钟，OSA患者为20.0 +/- 7.1分钟。但是，只有7名OSA儿童的平均睡眠潜伏期小于10分钟。此外，肥胖的OSA患者，呼吸暂停指数更高和氧合血红蛋白饱和度降低的患者更可能出现较短的睡眠潜伏期。结论：OSA患儿的睡眠潜伏期缩短，但EDS很少见，并且在较重和/或肥胖的患者中容易发展。

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