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1.
Int J Pediatr Otorhinolaryngol ; 73(12): 1780-5, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19854521

RESUMO

OBJECTIVE: Obstructive sleep apnea syndrome (OSAS) in cystic fibrosis (CF) patients may be associated with the presence of upper airway obstruction caused by chronic infection and nasal polyposis that may also contribute to OSAS severity. Our objective was to identify the profile of findings in CF and OSAS patients by performing upper airway examinations. METHODOLOGY: Observational, cross-sectional study involving 63 children and adolescents between the ages of 2 and 14 with CF. All patients answered a questionnaire and underwent a standard otolaryngology examination, including an endoscopic nasal and nocturnal polysomnography. OSAS diagnosis was confirmed if the obstructive apnea index was >or=1. RESULTS: OSAS was identified in 35 (55.6%) patients. The upper airway findings were evaluated using multiple correspondence factorial analysis. The OSAS group presented with overjet >2mm, enlarged pharyngeal pillars, palatine tonsils and pharyngeal tonsils hypertrophy, ogival hard palates and characteristics of chronic rhinosinusitis. CONCLUSION: Bone and soft tissue structural alterations of the upper airway and chronic rhinosinusitis were associated with the OSAS group patients.


Assuntos
Fibrose Cística/diagnóstico , Sistema Respiratório/fisiopatologia , Apneia Obstrutiva do Sono/diagnóstico , Adolescente , Fatores Etários , Criança , Pré-Escolar , Estudos Transversais , Fibrose Cística/epidemiologia , Feminino , Humanos , Laringoscopia/métodos , Masculino , Palato/fisiopatologia , Faringe/fisiopatologia , Exame Físico/métodos , Polissonografia/métodos , Prevalência , Probabilidade , Medição de Risco , Índice de Gravidade de Doença , Fatores Sexuais , Apneia Obstrutiva do Sono/epidemiologia , Estatísticas não Paramétricas
2.
J Bras Pneumol ; 34(6): 356-61, 2008 Jun.
Artigo em Português | MEDLINE | ID: mdl-18622501

RESUMO

OBJECTIVE: To investigate the symptoms most frequently found in children with a polysomnographic diagnosis of obstructive sleep apnea-hypopnea syndrome (OSAHS). METHODS: We evaluated 38 children consecutively referred to the sleep laboratory with suspicion of OSAHS between June of 2003 and December of 2004. The patients were submitted to a pre-sleep questionnaire and to polysomnography. RESULTS: The mean age was 7.8 +/- 4 years (range, 2-15 years), and 50% of the children were male. Children without apnea accounted for 7.9% of the sample. The obstructive sleep apnea observed in the remainder was mild in 42.1%, moderate in 28.9% and severe in 22.1%. Severe cases of apnea were most common among children under the age of six (pre-school age). In children with OSAHS, the most common symptoms were snoring and nasal obstruction, which were observed in 74.3 and 72.7% of the children, respectively. Excessive sleepiness and bruxism were seen in 29.4 and 34.3%, respectively, and reflux disease was seen in only 3.1%. Restless legs and difficulty in falling asleep were identified in 65 and 33%, respectively. All of the children diagnosed with severe OSAHS also presented snoring and bruxism. CONCLUSIONS: Snoring and nasal obstruction were the most common symptoms found in our sample of children and adolescents with OSAHS. In addition, OSAHS severity was associated with being in the lower age bracket.


Assuntos
Apneia Obstrutiva do Sono/diagnóstico , Adolescente , Bruxismo/diagnóstico , Bruxismo/epidemiologia , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Obstrução Nasal/diagnóstico , Obstrução Nasal/epidemiologia , Polissonografia , Prevalência , Índice de Gravidade de Doença , Apneia Obstrutiva do Sono/epidemiologia , Ronco/diagnóstico , Ronco/epidemiologia , Estatísticas não Paramétricas
3.
J. bras. pneumol ; 34(6): 356-361, jun. 2008. graf, tab
Artigo em Inglês, Português | LILACS | ID: lil-485894

RESUMO

OBJETIVOS: Investigar os sintomas mais freqüentes encontrados em crianças com diagnóstico polissonográfico de síndrome da apnéia-hipopnéia obstrutiva do sono (SAHOS). MÉTODOS: Foram avaliadas 38 crianças consecutivamente encaminhadas ao laboratório do sono com suspeita de SAHOS no período de junho de 2003 a dezembro de 2004. Os pacientes foram submetidos a um questionário pré-sono e a polissonografia. RESULTADOS: A idade média foi de 7,8 ± 4 anos (variação, 2-15 anos), sendo 50 por cento das crianças do sexo masculino. Não apnéicos corresponderam a 7,9 por cento dos pesquisados, distúrbio leve obstrutivo do sono ocorreu em 42,1 por cento, moderado em 28,9 por cento e severo em 22,1 por cento. Observou-se maior freqüência de casos severos de apnéia entre crianças menores de seis anos (idade pré-escolar). Dentre as crianças com SAHOS, os sintomas mais citados foram ronco e obstrução nasal, presentes em 74,3 e 72,7 por cento das crianças, respectivamente. Sonolência excessiva e bruxismo ocorreram em, respectivamente, 29,4 e 34,3 por cento dos casos e doença do refluxo em apenas 3,1 por cento. Agitação das pernas e dificuldade para iniciar o sono foram encontradas em, respectivamente, 65 e 33 por cento dos avaliados. Todas as crianças que apresentaram SAHOS de grau severo tinham queixa de ronco e bruxismo. CONCLUSÕES: Nossos resultados mostraram que os sintomas mais freqüentes em crianças e adolescentes com SAHOS são ronco e obstrução nasal. Além disso, quadros mais graves da SAHOS estão associados à menor faixa etária.


OBJECTIVE: To investigate the symptoms most frequently found in children with a polysomnographic diagnosis of obstructive sleep apnea-hypopnea syndrome (OSAHS). METHODS: We evaluated 38 children consecutively referred to the sleep laboratory with suspicion of OSAHS between June of 2003 and December of 2004. The patients were submitted to a pre-sleep questionnaire and to polysomnography. RESULTS: The mean age was 7.8 ± 4 years (range, 2-15 years), and 50 percent of the children were male. Children without apnea accounted for 7.9 percent of the sample. The obstructive sleep apnea observed in the remainder was mild in 42.1 percent, moderate in 28.9 percent and severe in 22.1 percent. Severe cases of apnea were most common among children under the age of six (pre-school age). In children with OSAHS, the most common symptoms were snoring and nasal obstruction, which were observed in 74.3 and 72.7 percent of the children, respectively. Excessive sleepiness and bruxism were seen in 29.4 and 34.3 percent, respectively, and reflux disease was seen in only 3.1 percent. Restless legs and difficulty in falling asleep were identified in 65 and 33 percent, respectively. All of the children diagnosed with severe OSAHS also presented snoring and bruxism. CONCLUSIONS: Snoring and nasal obstruction were the most common symptoms found in our sample of children and adolescents with OSAHS. In addition, OSAHS severity was associated with being in the lower age bracket.


Assuntos
Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Apneia Obstrutiva do Sono/diagnóstico , Bruxismo/diagnóstico , Bruxismo/epidemiologia , Obstrução Nasal/diagnóstico , Obstrução Nasal/epidemiologia , Polissonografia , Prevalência , Índice de Gravidade de Doença , Estatísticas não Paramétricas , Apneia Obstrutiva do Sono/epidemiologia , Ronco/diagnóstico , Ronco/epidemiologia
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