UNASSIGNED: A retrospective chart review of PSG data of children with OSA from January 2017 to March 2018 was performed.
UNASSIGNED: 856 children (317 girls and 539 boys, 4.9 ± 2.4 years) were involved. 50.1% (429/856) had a CAI > 1, and 2.9% (25/856) had a CAI >5. Children with a CAI >1 had a higher OAHI, arousal index (AI), oxygen desaturation index (ODI), and a longer REM period, but a younger age and a shorter slow-wave sleep (SWS) phase. Multivariate binary logistic regression showed that with a 1% increased REM period, the risk of the CAI being >1 increased by 5.3% (p < 0.001). The CAI increased with an increasing OAHI (p = 0.003). The possibility of a CAI ≤ 1 increased with age (p < 0.001), and boys were more likely to have a CAI ≤ 1 (p = 0.001).
UNASSIGNED: In addition to obstructive apnea (OA), almost all children with OSA also had CA, and a CAI > 1 was most likely to occur. The OAHI and REM period were risk factors for an increased CAI, and age and male sex were protective factors.
■对2017年1月至2018年3月OSA患儿的PSG数据进行回顾性图表回顾。
■856名儿童(317名女孩和539名男孩,涉及4.9±2.4年)。50.1%(429/856)的CAI>1,2.9%(25/856)的CAI>5。CAI>1的儿童有更高的OAHI,唤醒指数(AI),氧饱和度指数(ODI),和较长的REM期,但年龄较小,慢波睡眠(SWS)阶段较短。多元二元logistic回归显示,REM期增加1%,CAI>1的风险增加了5.3%(p<0.001)。CAI随着OAHI的增加而增加(p=0.003)。CAI≤1的可能性随着年龄的增长而增加(p<0.001),男孩更可能有CAI≤1(p=0.001)。
■除了阻塞性呼吸暂停(OA),几乎所有患有OSA的儿童也有CA,并且CAI>1是最有可能发生的。OAHI和REM期是CAI增加的危险因素,年龄和男性是保护因素。