儿童阻塞性睡眠呼吸暂停低通气综合征的文献研究

发布时间：2018-05-20 22:27

本文选题：阻塞性睡眠呼吸暂停低通气综合症 + 儿童　；参考：《山东大学》2010年硕士论文

【摘要】： 目的：概括分析2009年度中文期刊上发表的关于儿童阻塞性睡眠呼吸暂停低通气综合症(OSAHS)的文献资料,以了解国内相关领域研究的最新进展和发展状况,发现不足之处,为今后工作提供借鉴和指导。方法：采用计算机检索中国医学科学院医学信息研究所出版的《相关期刊论文CNKI》,同时配合手工检索,检索2009年1月至12月关于儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的学术文献,剔除相关文献综述、期刊述评、个案报道,筛选出论著,逐一查找原文,并对发表期刊的来源、研究内容、研究方法、研究单位的专业分布、地区分布等条目进行归纳分析。结果： 1、2009年1月至12月,中国大陆期刊共发表关于儿童OSAHS的研究文献88篇,其中以论著及短片论著为主,共81篇,文献综述、专家述评、个案报道共7篇。 2、中国大陆31个省级行政区,均有OSAHS相关研究论文发表,其中以广东、山东、云南、河南、河北等地区的研究论文较多。 3、文献作者主要以耳鼻喉科、小儿内科、麻醉科的为主,约占88.75%。口腔科、祖国医学也对儿童OSAHS的诊断、治疗也进行了分析总结。 4、2009年中文期刊发表的有关儿童OSAHS文献作者主要来源于大学附属医院及市级医院,两者占75.31%,其他级别的分类中包括：省级医院、县级医院、单位下属医院、军区分院等,共占24.69%。 5、2009年儿童OSAHS的研究内容较为丰富,其中包括：流行病学研究、发病机制与病因学研究、诊断及病情严重程度的临床评估、治疗方法探讨、并发症与合并症靶器官损害因素探讨等。结论： 1、目前我国儿童OSAHS的诊治水平不一,地区差别较大；中西部地区较弱,但就整体而言,国内对儿童OSAHS的诊断与治疗已经予以充分重视,儿童OSAHS的诊治水平在快速提高。 2、目前对于儿童OSAHS发病机制的研究较为薄弱。 3、流行病学研究取得了不少成果,但具有明确指导意义的研究少见。 4、儿童OSAHS的诊断标准在不断的更新,关于的诊断标准的研究也很有意义,不同的诊断方式不断涌现。 5、在儿童OSAHS的治疗上呈现出一边倒的局面,对手术以外的治疗方式研究太少,对于手术的远期观察较少,且对手术适应证的把握仍有偏差。
[Abstract]:Objective: to summarize and analyze the literature on obstructive sleep apnea-hypopnea syndrome (OSAHS) published in the Chinese Journal of 2009 in order to find out the latest progress and development of the related fields in China. To provide reference and guidance for future work. Methods: the full text database of Chinese Journal published by Institute of Medical Information of Chinese Academy of Medical Sciences (CNKI) was searched by computer, and was searched by hand. To search the academic literature on obstructive sleep apnea-hypopnea syndrome (OSAHS) in children from January to December 2009, to eliminate the related literature review, journal review, case report, and to screen out the works, to find out the original text one by one, and to find out the source of the published journal. Research content, research methods, professional distribution of research units, regional distribution and other items are summarized and analyzed. Results: 1. From January to December 2009, 88 articles on children's OSAHS were published in Chinese mainland journals, including 81 articles, literature reviews, expert reviews and case reports. 2, there are 31 provincial administrative regions in mainland China, all of which have published OSAHS related research papers, among which Guangdong, Shandong, Yunnan, Hebei and other regions have more research papers. 3. The main authors of the literature were otolaryngology, pediatric medicine and anesthesiology, accounting for 88.75%. The diagnosis and treatment of OSAHS in children were also analyzed and summarized in stomatology and traditional Chinese medicine. 4. The authors of the literature on children OSAHS published in Chinese periodicals in 2009 mainly come from university affiliated hospitals and municipal hospitals, which account for 75.31. The other classification includes provincial hospitals, county-level hospitals, subordinate hospitals of units, sub-hospitals of the military region, etc., accounting for 24.69g in total. 5. The research contents of OSAHS in children in 2009 were abundant, including epidemiology, pathogenesis and etiology, diagnosis and clinical evaluation of severity of the disease, treatment methods. Objective: to explore the factors of target organ damage in complications and complications. Conclusion: 1. At present, the level of diagnosis and treatment of OSAHS in children in China is different, the regional difference is great; the central and western regions are relatively weak, but on the whole, the diagnosis and treatment of OSAHS in children have been paid full attention in our country, and the level of diagnosis and treatment of OSAHS in children is improving rapidly. 2. At present, the research on the pathogenesis of OSAHS in children is relatively weak. 3. Many achievements have been made in epidemiological studies, but research with definite guiding significance is rare. 4. The diagnostic criteria of OSAHS in children are constantly updated, the research on the diagnostic criteria is also very meaningful, and different diagnostic methods are emerging. 5. There was a one-sided situation in the treatment of OSAHS in children. There were too few studies on the treatment methods other than surgery, and there were few long-term observations on the operation, and there was still a deviation in the indication of operation.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R766

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