The development of snoring and sleep related breathing distress from 4 to 6 years in a cohort of Swedish children

作者: Britta Löfstrand-Tideström , Elisabeth Hultcrantz

DOI: 10.1016/J.IJPORL.2007.03.005

关键词: Physical therapyAdenoidectomyDental archBreathing DistressMedicineDistressPediatricsCraniofacialBreathingCohortTonsillectomy

摘要: Summary Background Snoring is common among both children and adults a sign of sleep disordered breathing (SDB). Adenotonsillectomy often the solution offered, although effect uncertain. There are also some who say that young snore will outgrow it even without treatment. The present investigation compares snoring co-founding symptoms in parental reports for cohort at age 4 6 years. Method A year old chidren (615) was investigated with respect to SDB [B. Lofstrand-Tidestrom, B. Thilander, J. Ahlqvist-Rastad, O. Jakobsson, E. Hultcrantz, Breathing obstruction relation craniofacial dental arch morphology children, Eur. Orthod. 21 (1999) 323–332]. Each child given questionnaire. Those reporting significant received clinical an orthodontic examination. Forty-eight were diagnosed SDB; these 28 operated adenoidectomy and/or tonsillectomy. After 2 years, same questionnaire administered as before further examined well those newly symptoms. results from two occasions compared. Results Eighty-three percent (509) original participated. frequency had changed 53 46% group whole ( p Conclusion Children seldom “grow out it” by still show other signs related distress well. Surgery does not always cure snoring, thus postoperative follow-up important. Since new cases develop during this period, early intervention enough.

参考文章(26)
Donald G. Woodside, Sten Linder-Aronson, Excess Face Height Malocclusion: Etiology, Diagnosis, and Treatment ,(2000)
Birgit Thilander, Olli Rönning, Introduction to orthodontics Gothia. ,(1995)
Finn Geneser, Textbook of Histology ,(1986)
Damien Leger, Alex Clerk, Christian Guilleminault, Rafael Pelayo, Robert C. Z. Bocian, Recognition of sleep-disordered breathing in children. Pediatrics. ,vol. 98, pp. 871- 882 ,(1996)
N J Ali, D J Pitson, J R Stradling, Snoring, sleep disturbance, and behaviour in 4-5 year olds. Archives of Disease in Childhood. ,vol. 68, pp. 360- 366 ,(1993) , 10.1136/ADC.68.3.360
Christian Guilleminault, Ji Hyun Lee, Allison Chan, Pediatric Obstructive Sleep Apnea Syndrome Archives of Pediatrics & Adolescent Medicine. ,vol. 159, pp. 775- 785 ,(2005) , 10.1001/ARCHPEDI.159.8.775
Christian Guilleminault, Rafael Pelayo, Sleep-disordered breathing in children Annals of Medicine. ,vol. 30, pp. 350- 356 ,(1998) , 10.3109/07853899809029934