PDF(Pubmed)
Abstract：
Sleep-disordered breathing is a significant problem affecting the pediatric population. These conditions can affect sleep quality and children\'s overall health and well-being. Difficulties in social interaction, communication, and repetitive behavioral patterns characterize autism spectrum disorder. Sleep disturbances are common in children with ASD. This literature review aims to gather and analyze available studies on the relationship between SDB and children with autism spectrum disorder. We comprehensively searched the literature using major search engines (PubMed, Scopus, and Web of Science). After removing duplicates, we extracted a total of 96 records. We selected 19 studies for inclusion after a thorough title and abstract screening process. Seven articles were ultimately incorporated into this analysis. The research findings presented herein emphasize the substantial influence of sleep-disordered breathing on pediatric individuals diagnosed with autism spectrum disorder (ASD). These findings reveal a high incidence of SDB in children with ASD, emphasizing the importance of early diagnosis and specialized treatment. Obesity in this population further complicates matters, requiring focused weight management strategies. Surgical interventions, such as adenotonsillectomy, have shown promise in improving behavioral issues in children with ASD affected by OSA, regardless of their obesity status. However, more comprehensive studies are necessary to investigate the benefits of A&T treatment, specifically in children with ASD and OSA. The complex relationship between ASD, SDB, and other factors, such as joint hypermobility and muscle hypotonia, suggests a need for multidisciplinary treatment approaches. Physiotherapy can play a critical role in addressing these intricate health issues. Early sleep assessments and tailored weight management strategies are essential for timely diagnosis and intervention in children with ASD. Policy initiatives should support these efforts to enhance the overall well-being of this population. Further research is crucial to understand the complex causes of sleep disturbances in children with ASD and to develop effective interventions considering the multifaceted nature of these conditions.
摘要：
睡眠呼吸紊乱是影响儿科人群的重要问题。这些情况会影响睡眠质量和儿童的整体健康和福祉。社交互动中的困难，通信,重复的行为模式是自闭症谱系障碍的特征。睡眠障碍在ASD儿童中很常见。本文献综述旨在收集和分析有关SDB与自闭症谱系障碍儿童之间关系的现有研究。我们使用主要的搜索引擎(PubMed，Scopus,和WebofScience)。删除重复项后，我们总共提取了96条记录。经过彻底的标题和摘要筛选过程，我们选择了19项研究纳入。最终将七篇文章纳入本分析。本文提出的研究结果强调了睡眠呼吸紊乱对诊断为自闭症谱系障碍（ASD）的儿科个体的实质性影响。这些发现揭示了ASD儿童中SDB的高发病率，强调早期诊断和专门治疗的重要性。这个人群的肥胖使事情变得更加复杂，需要有针对性的体重管理策略。手术干预,如腺扁桃体切除术，在改善受OSA影响的ASD儿童的行为问题方面表现出了希望，不管他们的肥胖状况如何。然而,需要更全面的研究来调查A&T治疗的益处，特别是在患有ASD和OSA的儿童中。ASD之间的复杂关系，SDB,和其他因素，如关节活动过度和肌肉张力减退，表明需要多学科治疗方法。物理治疗可以在解决这些复杂的健康问题方面发挥关键作用。早期睡眠评估和量身定制的体重管理策略对于ASD儿童的及时诊断和干预至关重要。政策举措应支持这些努力，以提高这一人口的总体福祉。进一步的研究对于了解ASD儿童睡眠障碍的复杂原因以及考虑到这些疾病的多方面性质制定有效的干预措施至关重要。
