Tolerance of esophageal pressure monitoring during polysomnography in children.
Tolerance of esophageal pressure monitoring during polysomnography in children.
复制标题
儿童多导睡眠监测期间食管压力监测的耐受性。
作者：
R. Chervin;Deborah L. Ruzicka;Judith L Wiebelhaus;Garnett L Hegeman;Deanna J. Marriott;C. Marcus;B. Giordani;R. Weatherly;James E. Dillon
目标
评估5至13岁儿童在研究入组时和1年后再次进行研究性多导睡眠图检查时食管压力监测（EEP）的耐受性。
设计
前瞻性、观察性研究。
设置
大学睡眠实验室
参与者
计划行扁桃体切除术或疝修补术的儿童。
干预措施
无;所有手术均仅针对临床适应症进行。
结果
336个家庭中有42个拒绝参加这项研究，主要是为了避免麻烦。对于47例扁桃体切除术和7例疝修补术患者和参与的家属来说，疝通常是主要问题。在54例入组受试者中，51例允许尝试插入食管导管，所有情况下插入均成功; 38例耐受食管引流至少2小时; 33例整夜维持食管引流; 36例在1年后重复食管引流至少2小时。插管失败的原因包括插入时哭闹、呕吐、疼痛和睡眠期间无意中取出导管。在年龄、性别、是否存在破坏性行为障碍、焦虑、扁桃体大小、扁桃体炎史或体重指数方面，耐受至少2小时的儿童与其他受试者没有差异（均P > 0.05）。
结论
大多数学龄期志愿者的耐受性良好，但许多家庭没有志愿者，一些儿童无法忍受至少2小时的腹泻。虽然如果有医学指征，而不是自愿研究的一部分，在临床环境中可能会取得更好的成功，但儿童和父母仍然可能会产生重大担忧，必须权衡预期的益处。
OBJECTIVES
To assess tolerance of esophageal pressure monitoring (EPM) among 5- to 13-year-old children during research polysomnography at study entry and again 1 year later.
DESIGN
Prospective, observational study.
SETTING
University-based sleep laboratory.
PARTICIPANTS
Children scheduled for adenotonsillectomy or hernia repair.
INTERVENTIONS
None; all operations were performed for clinical indications only.
RESULTS
Forty-two of 336 families approached about the study declined to participate mainly to avoid EPM. The EPM was usually the main concern for the 47 adenotonsillectomy and 7 hernia-repair patients and families who did participate. Among 54 enrolled subjects, 51 allowed attempts at insertion of the esophageal catheter, and insertion was successful in all cases; 38 tolerated EPM for at least 2 hours; 33 maintained EPM for the entire night; and 36 had repeat EPM 1 year later for at least 2 hours. Reasons for EPM failure included crying at insertion, vomiting, pain, and inadvertent catheter removal during sleep. The children who tolerated EPM for at least 2 hours did not differ from other subjects based on age, sex, presence of a disruptive behavior disorder, anxiety, tonsil size, history of tonsillitis, or body mass index (all P > .05).
CONCLUSIONS
The EPM was well tolerated in most school-aged volunteers, but many families did not volunteer, and some children were not able to endure EPM for at least 2 hours. Although better success might be achieved in clinical settings if EPM is medically indicated and not part of voluntary research, EPM is still likely to create significant concern, for children and parents, that must be weighed against anticipated benefits.
DOI：
10.1164/ajrccm.163.2.9808132
发表时间：
2001-02-01
影响因子：
24.7
作者：
Hosselet, JJ;Ayappa, I;Rapoport, DM
通讯作者：
Rapoport, DM
儿童腺样体扁桃体切除术前阻塞性睡眠呼吸暂停的识别和评估：实践模式调查。
影响因子：
4.8
作者：
Weatherly,RobertA;Mai,EvelynF;Ruzicka,DeborahL;Chervin,RonaldD
通讯作者：
Chervin,RonaldD
影响因子：
9.6
作者：
GUILLEMINAULT, C;STOOHS, R;MAISTROS, P
通讯作者：
MAISTROS, P