Evidence-Based Practice Pediatric Obstructive Sleep Apnea

被引：18
|
作者：
Ishman, Stacey L. [1 ,2 ,3 ]
机构：
[1] Johns Hopkins Sch Med, Div Pulm & Crit Care Med, Dept Otolaryngol Head & Neck Surg, Baltimore, MD 21287 USA
[2] Johns Hopkins Sch Med, Div Pulm & Crit Care Med, Dept Pediat, Baltimore, MD 21287 USA
[3] Johns Hopkins Sch Med, Div Pulm & Crit Care Med, Dept Internal Med, Baltimore, MD 21287 USA
来源：
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA | 2012年 / 45卷 / 05期
关键词：
Pediatric; Children; Sleep-disordered breathing; Obstructive sleep apnea; Tonsillectomy; RAPID MAXILLARY EXPANSION; POWERED INTRACAPSULAR TONSILLECTOMY; LEUKOTRIENE MODIFIER THERAPY; TUCSON CHILDRENS ASSESSMENT; AIRWAY PRESSURE THERAPY; TO-NIGHT VARIABILITY; QUALITY-OF-LIFE; OBESE CHILDREN; FOLLOW-UP; POLYSOMNOGRAPHY;
D O I：
10.1016/j.otc.2012.06.009
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Diagnosis of sleep-disordered breathing (SDB) is most accurately obtained with a nocturnal polysomnogram. However, limitations on availability make alternative screening tools necessary. Nocturnal oximetry studies or nap polysomnography can be useful if positive; however, further testing is necessary to if these tests are negative. History and physical examination have insufficient sensitivity and specificity for definitive diagnosis of pediatric OSA. Adenotonsillectomy remains first-line therapy for pediatric SDB and obstructive sleep apnea (OSA). Additional study of limited therapies for mild OSA are necessary to determine if these are reasonable primary methods of treatment or if they should be reserved for children with persistent OSA.
引用
收藏
页码：1055 / +
页数：16
相关论文
共 50 条
12345