兒童睡眠呼吸障礙與口腔醫(yī)學(xué)治療
發(fā)布時間：2018-11-09 12:56
【摘要】：兒童阻塞性睡眠呼吸暫停低通氣綜合征(OSAHS),系因兒童上氣道狹窄夜間反復(fù)阻塞而影響血氧交換。由于夜間缺氧對生長發(fā)育的損害,將影響睡眠期間生長激素分泌、腦皮層的休眠及活動,對體格發(fā)育、精神行為、學(xué)習(xí)能力、性格養(yǎng)成均有不利影響,是醫(yī)學(xué)領(lǐng)域重要的交叉學(xué)科內(nèi)容,但尚存許多研究空白�？谇会t(yī)學(xué)的介入,一方面以口腔醫(yī)學(xué)特殊手段,如頭影測量等,開展OSAHS患兒的顱面形態(tài)診斷和分析,并能夠?qū)崿F(xiàn)對上氣道生長發(fā)育的追蹤觀察;另一方面能夠提供多種改善睡眠呼吸、改善因睡眠呼吸障礙導(dǎo)致的牙頜面畸形的治療手段,較為典型的有下頜前導(dǎo)、橫向擴(kuò)弓和上頜前方牽引�？谇会t(yī)學(xué)對符合條件的OSAHS兒童開展治療,是對腺體手術(shù)療法的重要補(bǔ)充,糾正睡眠呼吸障礙帶來的并發(fā)癥,此外還可以探討對成人OSAHS的預(yù)防。
[Abstract]:Obstructive sleep apnea hypopnea syndrome (OSAHS),) affects blood oxygen exchange in children with obstructive sleep apnea hypopnea syndrome due to recurrent nocturnal obstruction of upper airway stenosis. Because of the damage to growth and development caused by nocturnal hypoxia, it will affect the secretion of growth hormone during sleep, the dormancy and activity of cerebral cortex, and have adverse effects on physical development, mental behavior, learning ability and personality formation. It is an important interdisciplinary subject in the field of medicine, but there are still many gaps in research. The intervention of Stomatology, on the one hand, uses special means of stomatology, such as cephalometric measurement, to diagnose and analyze the craniofacial morphology of children with OSAHS, and can follow up the growth and development of the upper airway. On the other hand, it can provide a variety of methods to improve sleep breathing, improve the treatment of dental and maxillofacial deformity caused by sleep apnea, such as mandibular leading, transverse arch expansion and maxillary anterior traction. Stomatology therapy for eligible OSAHS children is an important supplement to glandular surgery and correction of complications caused by sleep apnea. In addition, the prevention of adult OSAHS can be explored.
【作者單位】： 北京大學(xué)口腔醫(yī)學(xué)院·口腔醫(yī)院正畸科;
【基金】：國家自然科學(xué)基金資助項(xiàng)目(30872915) 首都醫(yī)學(xué)發(fā)展科研基金資助項(xiàng)目(2007-3009)
【分類號】：R766;R78
[Abstract]:Obstructive sleep apnea hypopnea syndrome (OSAHS),) affects blood oxygen exchange in children with obstructive sleep apnea hypopnea syndrome due to recurrent nocturnal obstruction of upper airway stenosis. Because of the damage to growth and development caused by nocturnal hypoxia, it will affect the secretion of growth hormone during sleep, the dormancy and activity of cerebral cortex, and have adverse effects on physical development, mental behavior, learning ability and personality formation. It is an important interdisciplinary subject in the field of medicine, but there are still many gaps in research. The intervention of Stomatology, on the one hand, uses special means of stomatology, such as cephalometric measurement, to diagnose and analyze the craniofacial morphology of children with OSAHS, and can follow up the growth and development of the upper airway. On the other hand, it can provide a variety of methods to improve sleep breathing, improve the treatment of dental and maxillofacial deformity caused by sleep apnea, such as mandibular leading, transverse arch expansion and maxillary anterior traction. Stomatology therapy for eligible OSAHS children is an important supplement to glandular surgery and correction of complications caused by sleep apnea. In addition, the prevention of adult OSAHS can be explored.
【作者單位】： 北京大學(xué)口腔醫(yī)學(xué)院·口腔醫(yī)院正畸科;
【基金】：國家自然科學(xué)基金資助項(xiàng)目(30872915) 首都醫(yī)學(xué)發(fā)展科研基金資助項(xiàng)目(2007-3009)
【分類號】：R766;R78
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【共引文獻(xiàn)】
相關(guān)期刊論文 前10條
1 張?jiān)伱?劉文佳;辜岷;金愛瓊;朱耀e，
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