5) 小児の閉塞性睡眠時無呼吸症候群 (〈シンポジウム〉睡眠時無呼吸症候群)

概要

論文の詳細を見る
Obstructive Sleep Apnea Syndrome (OSAS) is an important public health problem that is well characterized in adults. However, major gaps exist in our knowledge about this disorder in the pediatric age group. Moreover, these disorders can have a great impact on a child's quality of life and can progress to significant complications. The purpose of this report is to examine clinical features, diagnosis, and treatment of OSAS in children. The true prevalence of OSAS in children is unknown; the lower limit of prevalence has been estimated 1∿3%. Although the complications of childhood OSAS may be similar to sleep disorders in adults, there are several differences that includes growth retardation, development delay, behavioral disturbance, enuresis, pulmonary hypertension, and heart failure. The diagnostic criteria used for adults with OSAS cannot be used reliably in children. The diagnosis of OSAS is based on the history, physical findings, and supportive data. Adenoid and tonsillar hypertrophy is the most important cause of OSAS in children. A majority of these patients are successfully treated with adenotonsillectomy. With greater awareness of pediatric sleep disorders, these complications may be avoided.
新潟大学の論文