兒童阻塞性睡眠呼吸暫停低通氣綜合征的文獻(xiàn)研究
本文選題:阻塞性睡眠呼吸暫停低通氣綜合癥 + 兒童; 參考:《山東大學(xué)》2010年碩士論文
【摘要】: 目的:概括分析2009年度中文期刊上發(fā)表的關(guān)于兒童阻塞性睡眠呼吸暫停低通氣綜合癥(OSAHS)的文獻(xiàn)資料,以了解國(guó)內(nèi)相關(guān)領(lǐng)域研究的最新進(jìn)展和發(fā)展?fàn)顩r,發(fā)現(xiàn)不足之處,為今后工作提供借鑒和指導(dǎo)。 方法:采用計(jì)算機(jī)檢索中國(guó)醫(yī)學(xué)科學(xué)院醫(yī)學(xué)信息研究所出版的《相關(guān)期刊論文CNKI》,同時(shí)配合手工檢索,檢索2009年1月至12月關(guān)于兒童阻塞性睡眠呼吸暫停低通氣綜合征(OSAHS)的學(xué)術(shù)文獻(xiàn),剔除相關(guān)文獻(xiàn)綜述、期刊述評(píng)、個(gè)案報(bào)道,篩選出論著,逐一查找原文,并對(duì)發(fā)表期刊的來(lái)源、研究?jī)?nèi)容、研究方法、研究單位的專業(yè)分布、地區(qū)分布等條目進(jìn)行歸納分析。 結(jié)果: 1、2009年1月至12月,中國(guó)大陸期刊共發(fā)表關(guān)于兒童OSAHS的研究文獻(xiàn)88篇,其中以論著及短片論著為主,共81篇,文獻(xiàn)綜述、專家述評(píng)、個(gè)案報(bào)道共7篇。 2、中國(guó)大陸31個(gè)省級(jí)行政區(qū),均有OSAHS相關(guān)研究論文發(fā)表,其中以廣東、山東、云南、河南、河北等地區(qū)的研究論文較多。 3、文獻(xiàn)作者主要以耳鼻喉科、小兒內(nèi)科、麻醉科的為主,約占88.75%。口腔科、祖國(guó)醫(yī)學(xué)也對(duì)兒童OSAHS的診斷、治療也進(jìn)行了分析總結(jié)。 4、2009年中文期刊發(fā)表的有關(guān)兒童OSAHS文獻(xiàn)作者主要來(lái)源于大學(xué)附屬醫(yī)院及市級(jí)醫(yī)院,兩者占75.31%,其他級(jí)別的分類中包括:省級(jí)醫(yī)院、縣級(jí)醫(yī)院、單位下屬醫(yī)院、軍區(qū)分院等,共占24.69%。 5、2009年兒童OSAHS的研究?jī)?nèi)容較為豐富,其中包括:流行病學(xué)研究、發(fā)病機(jī)制與病因?qū)W研究、診斷及病情嚴(yán)重程度的臨床評(píng)估、治療方法探討、并發(fā)癥與合并癥靶器官損害因素探討等。 結(jié)論: 1、目前我國(guó)兒童OSAHS的診治水平不一,地區(qū)差別較大;中西部地區(qū)較弱,但就整體而言,國(guó)內(nèi)對(duì)兒童OSAHS的診斷與治療已經(jīng)予以充分重視,兒童OSAHS的診治水平在快速提高。 2、目前對(duì)于兒童OSAHS發(fā)病機(jī)制的研究較為薄弱。 3、流行病學(xué)研究取得了不少成果,但具有明確指導(dǎo)意義的研究少見(jiàn)。 4、兒童OSAHS的診斷標(biāo)準(zhǔn)在不斷的更新,關(guān)于的診斷標(biāo)準(zhǔn)的研究也很有意義,不同的診斷方式不斷涌現(xiàn)。 5、在兒童OSAHS的治療上呈現(xiàn)出一邊倒的局面,對(duì)手術(shù)以外的治療方式研究太少,對(duì)于手術(shù)的遠(yuǎn)期觀察較少,且對(duì)手術(shù)適應(yīng)證的把握仍有偏差。
[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.
【學(xué)位授予單位】:山東大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2010
【分類號(hào)】:R766
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