■阻塞性睡眠呼吸暂停(OSA)是儿童常见的睡眠相关呼吸障碍。确定OSA发展的危险因素对于疾病的早期诊断和治疗至关重要,并降低了负面后果的风险。本研究旨在探讨Mallampati评分的预测价值,扁桃体大小,以及儿童OSA存在和严重程度的BMIz评分。
■这项前瞻性横断面研究包括114名患有OSA症状的儿童。所有儿童均通过BMIz评分进行评估,Mallampati得分,和扁桃体大小,并进行了过夜多导睡眠图。将他们连续选择并分为以下4组:第1组包括正常体重和低Mallampati评分;第2组包括正常体重和高Mallampati评分;第3组包括肥胖和低Mallampati评分;第4组包括肥胖和高Mallampati评分。
■在包含的114个孩子中,58名女性,56名男性,平均年龄为13.1±2.9岁。与其他组相比,第4组的OSA频率和呼吸暂停低通气指数明显更高(分别为p=0.003和p<0.0001),而平均和最小spO2显著较低(两者,p=0.001)。Mallampati评分和BMIz评分对于预测OSA具有重要意义(比值比=4.147,95%CI:1.440-11.944;p=0.008,比值比=1.760,95%CI:1.039-2.980;p=0.035,分别)。OSA患者中,Mallampati得分,扁桃体大小,和BMIz评分对于预测OSA严重程度具有显著意义(比值比=4.520,95%CI:1.332-15.335,p=0.015,比值比=9.177,95%CI:2.513-33.514,p=0.001,比值比=2.820,95%CI:1.444-5.508;p=0.002).
■Mallampati评分和BMIz评分的共存显着增加了儿童OSA的存在。Mallampati得分,扁桃体大小,和BMIz评分是预测OSA严重程度的有希望的参数。
UNASSIGNED: Obstructive sleep apnea (OSA) is a common sleep-related breathing disorder in children. Determination of risk factors for the development of OSA is essential for early diagnosis and treatment of the disease and decreases the risk of negative consequences. This study aimed to investigate the predictive values of Mallampati score, tonsillar size, and BMI z-score in the presence and severity of OSA in children.
UNASSIGNED: This prospective cross-sectional study included 114 children with OSA symptoms. All children were assessed by BMI z-score, Mallampati score, and tonsillar size and underwent overnight polysomnography. They were consecutively selected and assigned to 4 groups as follows: Group 1 included normal-weight with a low Mallampati score; Group 2 involved normal-weight with a high Mallampati score; Group 3 included obese with a low Mallampati score; and Group 4 involved obese with a high Mallampati score.
UNASSIGNED: Of the 114 included children, 58 were female and 56 were male, with a mean age of 13.1 ± 2.9 years. OSA frequency and apnea-hypopnea index were significantly higher in group 4 compared with other groups (p = 0.003 and p < 0.0001, respectively), whereas average and minimum spO2 were significantly lower (for both, p = 0.001). Mallampati score and BMI z-score were found to be significant for predicting OSA (odds ratio = 4.147, 95% CI: 1.440-11.944; p = 0.008 and odds ratio = 1.760, 95% CI: 1.039-2.980; p = 0.035, respectively). Among OSA patients, the Mallampati score, tonsillar size, and BMI z-score were found to be significant for predicting OSA severity (odds ratio = 4.520, 95% CI: 1.332-15.335, p = 0.015, odds ratio = 9.177, 95% CI: 2.513-33.514, p = 0.001, and odds ratio = 2.820, 95% CI: 1.444-5.508; p = 0.002, respectively).
UNASSIGNED: The coexistence of the Mallampati score and BMI z-score significantly increases the presence of OSA in children. Mallampati score, tonsillar size, and BMI z-score are promising parameters for predicting OSA severity.