Chinese guideline for the diagnosis and treatment of childhood obstructive sleep apnea (2020)_Chinese Journal of Evidence-Based Medicine

Authors：

 Working Group of Chinese Guideline for the Diagnosis and Treatment of Childhood OSA , Subspecialty Group of Pediatrics, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association , Subspecialty Group of Respiratory Diseases, Society of Pediatrics, Chinese Medical Association , Society of Pediatric Surgery, Chinese Medical Association , Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery

Corresponding?author：

Working Group of Chinese Guideline for the Diagnosis and Treatment of Childhood OSA, Email: nixin@bch.com.cn

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DOI：

10.7507/1672-2531.202005147

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Citation： Working Group of Chinese Guideline for the Diagnosis and Treatment of Childhood OSA, Subspecialty Group of Pediatrics, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association, Subspecialty Group of Respiratory Diseases, Society of Pediatrics, Chinese Medical Association, Society of Pediatric Surgery, Chinese Medical Association, Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery. Chinese guideline for the diagnosis and treatment of childhood obstructive sleep apnea (2020). Chinese Journal of Evidence-Based Medicine, 2020, 20(8): 883-900. doi: 10.7507/1672-2531.202005147 Copy

1.	中華耳鼻咽喉頭頸外科雜志編委會, 中華醫學會耳鼻咽喉科學分會. 兒童阻塞性睡眠呼吸暫停低通氣綜合征診療指南草案(烏魯木齊). 中華耳鼻咽喉頭頸外科雜志, 2007, 42(2): 83-84.
2.	Marcus CL, Brooks LJ, Draper KA, et al. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics, 2012, 130(3): e714-755.
3.	Li AM, So HK, Au CT, et al. Epidemiology of obstructive sleep apnoea syndrome in chinese children: a two-phase community study. Thorax, 2010, 65(11): 991-997.
4.	Tan HL, Gozal D, Kheirandish-Gozal L. Obstructive sleep apnea in children: a critical update. Nat Sci Sleep, 2013, 5: 109-123.
5.	Chan KC, Au CT, Hui LL, et al. Childhood OSA is an independent determinant of blood pressure in adulthood: longitudinal follow-up study. Thorax, 2020, 75(5): 422-431.
6.	Tseng P, Lee P, Hsu W, et al. A higher proportion of metabolic syndrome in Chinese subjects with sleep-disordered breathing: a case-control study based on electrocardiogram-derived sleep analysis. PLoS One, 2017, 12(1): e0169394.
7.	Shen Y, Xu Z, Shen K. Urinary leukotriene E4, obesity, and adenotonsillar hypertrophy in chinese children with sleep disordered breathing. Sleep, 2011, 34(8): 1135-1141.
8.	Kaditis AG, Alonso Alvarez ML, Boudewyns A, et al. Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management. Eur Respir J, 2016, 47(1): 69-94.
9.	Villa MP, Brunetti L, Bruni O, et al. [Guidelines for the Diagnosis of Childhood Obstructive Sleep Apnea Syndrome]. Minerva Pediatr, 2004, 56(3): 239-253.
10.	Section on Pediatric Pulmonology, Subcommittee on Obstructive Sleep Apnea Syndrome. American Academy of Pediatrics. Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics, 2002, 109(4): 704-712.
11.	Materia E, Baglio G, Bellussi L, et al. The clinical and organisational appropriateness of tonsillectomy and adenoidectomy-an Italian perspective. Int J Pediatr Otorhinolaryngol, 2005, 69(4): 497-500.
12.	Roland PS, Rosenfeld RM, Brooks LJ, et al. Clinical practice guideline: polysomnography for sleep-disordered breathing prior to tonsillectomy in children. Otolaryngol Head Neck Surg, 2011, 145(1 Suppl): S1-15.
13.	Villa Asensi JR, Martínez Carrasco C, Pérez Pérez G, et al. Guidelines for the diagnosis and management of sleep apnea-hypoapnea syndrome in children. An Pediatr (Barc), 2006, 65(4): 364-376.
14.	Berry RB, Albertario CL, Harding SM, et al. The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications (Version 2.5). Washington DC: American Academy of Sleep Medicine, 2018.
15.	Brietzke SE, Katz ES, Roberson DW. Can history and physical examination reliably diagnose pediatric obstructive sleep apnea/hypopnea syndrome? A systematic review of the literature. Otolaryngol Head Neck Surg, 2004, 131(6): 827-832.
16.	Certal V, Catumbela E, Winck JC, et al. Clinical assessment of pediatric obstructive sleep apnea: a systematic review and meta-analysis. Laryngoscope, 2012, 122(9): 2105-2114.
17.	De Luca Canto G, Singh V, Major MP, et al. Diagnostic capability of questionnaires and clinical examinations to assess sleep-disordered breathing in children: a systematic review and meta-analysis. J Am Dent Assoc, 2014, 145(2): 165-178.
18.	許志飛, 吳云肖, 馮國雙, 等. 兒童阻塞性睡眠呼吸暫停綜合征多道睡眠監測診斷界值的探討. 中華耳鼻咽喉頭頸外科雜志, 2016, 51(11): 806-811.
19.	鄧繼巋, 鄭躍杰, 袁雄偉. 多導睡眠圖在兒童鼾癥鑒別診斷中的應用研究. 生物醫學工程與臨床, 2005, 9(4): 220-221.
20.	Wang G, Xu Z, Tai J, et al. Normative values of polysomnographic parameters in chinese children and adolescents: a cross-sectional study. Sleep Med, 2016, (27-28): 49-53.
21.	Kaditis AG, Alonso AM, Boudewyns A, et al. ERS statement on obstructive sleep disordered breathing in 1- to 23-month-old children. Europ Res J, 2017, 50(6): 1700985.
22.	Sateia MJ. International classification of sleep disorders-third edition: highlights and modifications. Chest, 2014, 146(5): 1387-1394.
23.	Australasian Sleep Association. New Zealand guidelines for the assessment of sleep-disordered breathing in childhood. Wellington, New Zealand: Paediatric Sleep Medicine Clinical Network, 2014.
24.	Corso RM, Gregoretti C, Braghiroli A, et al. Practice guidelines for the perioperative management of patients with obstructive sleep apnea: navigating through uncertainty. Anesthesiology, 2014, 121(3): 664-665.
25.	Nolan J, Brietzke SE. Systematic review of pediatric tonsil size and polysomnogram-measured obstructive sleep apnea severity. Otolaryngol Head Neck Surg, 2011, 144(6): 844-850.
26.	Mitchell RB, Garetz S, Moore RH, et al. The use of clinical parameters to predict obstructive sleep apnea syndrome severity in children: The childhood adenotonsillectomy (CHAT) study randomized clinical trial. JAMA Otolaryngol Head Neck Surg, 2015, 141(2): 130-136.
27.	Leitzen KP, Brietzke SE, Lindsay RW. Correlation between nasal anatomy and objective obstructive sleep apnea severity. Otolaryngol Head Neck Surg, 2014, 150(2): 325-331.
28.	Leonardis RL, Robison JG, Otteson TD. Evaluating the management of obstructive sleep apnea in neonates and infants. JAMA Otolaryngol Head Neck Surg, 2013, 139(2): 139-146.
29.	Katz ES, Mitchell RB, D'Ambrosio CM. Obstructive sleep apnea in infants. Am J Respir Crit Care Med, 2012, 185(8): 805-816.
30.	Goroza E, Sagy M, Sagy N, et al. Severity assessment of obstructive sleep apnea syndrome (OSAS) in pediatric patients. Clin Pediatr (Phila), 2009, 48(5): 528-533.
31.	Brockmann PE, Schaefer C, Poets A, et al. Diagnosis of obstructive sleep apnea in children: a systematic review. Sleep Med Rev, 2013, 17(5): 331-340.
32.	Nixon GM, Kermack AS, Davis GM, et al. Planning adenotonsillectomy in children with obstructive sleep apnea: the role of overnight oximetry. Pediatrics, 2004, 113(1 Pt 1): e19-25.
33.	Brouillette R, Morielli A, et al. Nocturnal pulse oximetry as an abbreviated testing modality for pediatric obstructive sleep apnea. Pediatrics, 2000, 105(2): 405-412.
34.	Spruyt K, Gozal D. Pediatric sleep questionnaires as diagnostic or epidemiological tools: a review of currently available instruments. Sleep Med Rev, 2011, 15(1): 19-32.
35.	Certal V, de Lima FF, Winck JC, et al. Translation and cross-cultural adaptation of the pediatric sleep questionnaire into portuguese language. Int J Pediatr Otorhinolaryngol, 2015, 79(2): 175-178.
36.	Bertran K, Mesa T, Rosso K, et al. Diagnostic accuracy of the spanish version of the pediatric sleep questionnaire for screening of obstructive sleep apnea in habitually snoring children. Sleep Med, 2015, 16(5): 631-636.
37.	Tomás VM, Miralles TA, Beseler SB. Spanish version of the pediatric sleep questionnaire (PSQ). A useful instrument in investigation of sleep disturbances in childhood. reliability analysis. An Pediatr (Barc), 2007, 66(2): 121-128.
38.	李曉丹, 邰雋, 許志飛, 等. 簡體中文版兒童睡眠問卷應用于北京地區阻塞性睡眠呼吸暫停綜合征兒童篩查的信度和效度評估. 中華耳鼻咽喉頭頸外科雜志, 2016, 51(11): 812-818.
39.	Brodsky L. Modern assessment of tonsils and adenoids. Pediatr Clin North Am, 1989, 36(6): 1551-1569.
40.	Franco RA, Rosenfeld RM, Rao M. First place--resident clinical science award 1999. Quality of life for children with obstructive sleep apnea. Otolaryngol Head Neck Surg, 2000, 123(1 Pt 1): 9-16.
41.	Lee CH, Hsu WC, Chang WH, et al. Polysomnographic findings after adenotonsillectomy for obstructive sleep apnoea in obese and non-obese children: a systematic review and meta-analysis. Clin Otolaryngol, 2016, 41(5): 498-510.
42.	Akkari M, Marianowski R, Chalumeau F, et al. French Society of Otorhinolaryngology and Head and Neck Surgery (SFORL) guidelines concerning the role of otorhinolaryngologists in the management of paediatric obstructive sleep apnoea syndrome: follow-up protocol for treated children. Eur Ann Otorhinolaryngol Head Neck Dis, 2018, 135(6): 427-431.
43.	Mitchell RB, Archer SM, Ishman SL, et al. Clinical practice guideline: tonsillectomy in children (update). Otolaryngol Head Neck Surg, 2019, 160(1_suppl): S1-S42.1-42.
44.	Baugh RF, Archer SM, Mitchell RB, et al. Clinical practice guideline: tonsillectomy in children. Otolaryngol Head Neck Surg, 2011, 144(1 Suppl): S1-30.
45.	Kuhle S, Urschitz MS. Anti-inflammatory medications for obstructive sleep apnea in children. Cochrane Database Syst Rev, 2011, 1: D7074.
46.	陳曦, 李進讓. 鼻用激素治療兒童阻塞性睡眠呼吸暫停低通氣綜合征療效的 Meta 分析. 山東大學耳鼻喉眼學報, 2015, 29(2): 9-11, 14.
47.	馬冬梅, 徐佩茹. 孟魯司特鈉治療輕度兒童睡眠呼吸障礙療效的Meta分析. 中國全科醫學, 2013, 16(32): 3828-3832.
48.	Liming BJ, Ryan M, Mack D, et al. Montelukast and nasal corticosteroids to treat pediatric obstructive sleep apnea: a systematic review and meta-analysis. Otolaryngol Head Neck Surg, 2019, 160(4): 594-602.
49.	Zhang J, Chen J, Yin Y, et al. Therapeutic effects of different drugs on obstructive sleep apnea/hypopnea syndrome in children. World J Pediatr, 2017, 13(6): 537-543.
50.	Katherine Clarridge MM. Neuropsychiatric events with the use of montelukast in pediatric patients. Washington D.C. U.S: FDA Joint Meeting of the Pediatric and Drug Safety and Risk Management Advisory Committees, 2019.
51.	Pateron B, Marianowski R, Monteyrol PJ, et al. French Society of ENT (SFORL) Guidelines (Short Version) on the Roles of the Various Treatment Options in Childhood Obstructive Sleep Apnea-Hypopnea Syndrome. Eur Ann Otorhinolaryngol Head Neck Dis, 2018, 135(4): 265-268.
52.	中華醫學會兒科學分會呼吸學組睡眠協作組, 《中華實用兒科臨床雜志》編輯委員會. 無創正壓通氣治療兒童阻塞性睡眠呼吸暫停綜合征專家共識(草案). 中華實用兒科臨床雜志, 2016, 31(19): 1451-1455.
53.	Camacho M, Chang ET, Song SA, et al. Rapid maxillary expansion for pediatric obstructive sleep apnea: a systematic review and meta-analysis. Laryngoscope, 2017, 127(7): 1712-1719.
54.	Machado-Júnior AJ, Zancanella E, Crespo AN. Rapid maxillary expansion and obstructive sleep apnea: a review and meta-analysis. Med Oral Patol Oral Cir Bucal, 2016, 21(4): e465-469.
55.	Vale F, Albergaria M, Carrilho E, et al. Efficacy of rapid maxillary expansion in the treatment of obstructive sleep apnea syndrome: a systematic review with meta-analysis. J Evid Based Dent Pract, 2017, 17(3): 159-168.
56.	Seif-Eldin NF, Elkordy SA, Fayed MS, et al. Transverse skeletal effects of rapid maxillary expansion in pre and post pubertal subjects: a systematic review. Open Access Maced J Med Sci, 2019, 7(3): 467-477.
57.	Carvalho FR, Lentini-Oliveira DA, Prado LB, et al. Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children. Cochrane Database Syst Rev, 2016, (10): CD005520.
58.	Yanyan M, Min Y, Xuemei G. Mandibular advancement appliances for the treatment of obstructive sleep apnea in children: a systematic review and meta-analysis. Sleep Med, 2019, 60: 145-151.
59.	Andersen IG, Holm JC, Hom?e P. Obstructive sleep apnea in obese children and adolescents, treatment methods and outcome of treatment - a systematic review. Int J Pediatr Otorhinolaryngol, 2016, 87: 190-197.
60.	Roche J, Gillet V, Perret F, et al. Obstructive sleep apnea and sleep architecture in adolescents with severe obesity: effects of a 9-month lifestyle modification program based on regular exercise and a balanced diet. J Clin Sleep Med, 2018, 14(6): 967-976.
61.	中華人民共和國國家衛生和計劃生育委員會. 中華人民共和國衛生行業標準WS/T 586-2018: 學齡兒童青少年超重與肥胖篩查, 2018. Avialable at: http://www.nhc.gov.cn/ewebeditor/uploadfile/2018/03/20180329094554367.pdf.
62.	Styne DM, Arslanian SA, Connor EL, et al. Pediatric obesity-assessment, treatment, and prevention: an endocrine society clinical practice guideline. J Clin Endocrinol Metab, 2017, 102(3): 709-757.
63.	Institute of Medicine. Clinical practice guidelines we can trust. Washington. DC: The National Academies Press, 2011.
64.	World Health Organization. WHO handbook for guideline development-2nd ed. Geneva: WHO Press, 2014.
65.	Brouwers MC, Kho ME, Browman GP, et al. AGREE II: advancing guideline development, reporting and evaluation in health care. J Clin Epidemiol, 2010, 63(12): 1308-1311.
66.	Chen Y, Yang K, Maru?ic A, et al. A reporting tool for practice guidelines in health care: The RIGHT Statement. Ann Intern Med, 2017, 166(2): 128-132.
67.	國家兒童醫學中心首都醫科大學附屬北京兒童醫院, 中華醫學會耳鼻咽喉頭頸外科分會, 中華醫學會小兒外科學分會, 等. 中國兒童阻塞性睡眠呼吸暫停診療指南計劃書. 中國循證醫學雜志, 2020, 20(1): 102-107.
68.	陶歡, 楊樂天, 平安, 等. 隨機或非隨機防治性研究系統評價的質量評價工具AMSTAR 2解讀. 中國循證醫學雜志, 2018, 18(1): 101-108.

1. 中華耳鼻咽喉頭頸外科雜志編委會, 中華醫學會耳鼻咽喉科學分會. 兒童阻塞性睡眠呼吸暫停低通氣綜合征診療指南草案(烏魯木齊). 中華耳鼻咽喉頭頸外科雜志, 2007, 42(2): 83-84.
2. Marcus CL, Brooks LJ, Draper KA, et al. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics, 2012, 130(3): e714-755.
3. Li AM, So HK, Au CT, et al. Epidemiology of obstructive sleep apnoea syndrome in chinese children: a two-phase community study. Thorax, 2010, 65(11): 991-997.
4. Tan HL, Gozal D, Kheirandish-Gozal L. Obstructive sleep apnea in children: a critical update. Nat Sci Sleep, 2013, 5: 109-123.
5. Chan KC, Au CT, Hui LL, et al. Childhood OSA is an independent determinant of blood pressure in adulthood: longitudinal follow-up study. Thorax, 2020, 75(5): 422-431.
6. Tseng P, Lee P, Hsu W, et al. A higher proportion of metabolic syndrome in Chinese subjects with sleep-disordered breathing: a case-control study based on electrocardiogram-derived sleep analysis. PLoS One, 2017, 12(1): e0169394.
7. Shen Y, Xu Z, Shen K. Urinary leukotriene E4, obesity, and adenotonsillar hypertrophy in chinese children with sleep disordered breathing. Sleep, 2011, 34(8): 1135-1141.
8. Kaditis AG, Alonso Alvarez ML, Boudewyns A, et al. Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management. Eur Respir J, 2016, 47(1): 69-94.
9. Villa MP, Brunetti L, Bruni O, et al. [Guidelines for the Diagnosis of Childhood Obstructive Sleep Apnea Syndrome]. Minerva Pediatr, 2004, 56(3): 239-253.
10. Section on Pediatric Pulmonology, Subcommittee on Obstructive Sleep Apnea Syndrome. American Academy of Pediatrics. Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics, 2002, 109(4): 704-712.
11. Materia E, Baglio G, Bellussi L, et al. The clinical and organisational appropriateness of tonsillectomy and adenoidectomy-an Italian perspective. Int J Pediatr Otorhinolaryngol, 2005, 69(4): 497-500.
12. Roland PS, Rosenfeld RM, Brooks LJ, et al. Clinical practice guideline: polysomnography for sleep-disordered breathing prior to tonsillectomy in children. Otolaryngol Head Neck Surg, 2011, 145(1 Suppl): S1-15.
13. Villa Asensi JR, Martínez Carrasco C, Pérez Pérez G, et al. Guidelines for the diagnosis and management of sleep apnea-hypoapnea syndrome in children. An Pediatr (Barc), 2006, 65(4): 364-376.
14. Berry RB, Albertario CL, Harding SM, et al. The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications (Version 2.5). Washington DC: American Academy of Sleep Medicine, 2018.
15. Brietzke SE, Katz ES, Roberson DW. Can history and physical examination reliably diagnose pediatric obstructive sleep apnea/hypopnea syndrome? A systematic review of the literature. Otolaryngol Head Neck Surg, 2004, 131(6): 827-832.
16. Certal V, Catumbela E, Winck JC, et al. Clinical assessment of pediatric obstructive sleep apnea: a systematic review and meta-analysis. Laryngoscope, 2012, 122(9): 2105-2114.
17. De Luca Canto G, Singh V, Major MP, et al. Diagnostic capability of questionnaires and clinical examinations to assess sleep-disordered breathing in children: a systematic review and meta-analysis. J Am Dent Assoc, 2014, 145(2): 165-178.
18. 許志飛, 吳云肖, 馮國雙, 等. 兒童阻塞性睡眠呼吸暫停綜合征多道睡眠監測診斷界值的探討. 中華耳鼻咽喉頭頸外科雜志, 2016, 51(11): 806-811.
19. 鄧繼巋, 鄭躍杰, 袁雄偉. 多導睡眠圖在兒童鼾癥鑒別診斷中的應用研究. 生物醫學工程與臨床, 2005, 9(4): 220-221.
20. Wang G, Xu Z, Tai J, et al. Normative values of polysomnographic parameters in chinese children and adolescents: a cross-sectional study. Sleep Med, 2016, (27-28): 49-53.
21. Kaditis AG, Alonso AM, Boudewyns A, et al. ERS statement on obstructive sleep disordered breathing in 1- to 23-month-old children. Europ Res J, 2017, 50(6): 1700985.
22. Sateia MJ. International classification of sleep disorders-third edition: highlights and modifications. Chest, 2014, 146(5): 1387-1394.
23. Australasian Sleep Association. New Zealand guidelines for the assessment of sleep-disordered breathing in childhood. Wellington, New Zealand: Paediatric Sleep Medicine Clinical Network, 2014.
24. Corso RM, Gregoretti C, Braghiroli A, et al. Practice guidelines for the perioperative management of patients with obstructive sleep apnea: navigating through uncertainty. Anesthesiology, 2014, 121(3): 664-665.
25. Nolan J, Brietzke SE. Systematic review of pediatric tonsil size and polysomnogram-measured obstructive sleep apnea severity. Otolaryngol Head Neck Surg, 2011, 144(6): 844-850.
26. Mitchell RB, Garetz S, Moore RH, et al. The use of clinical parameters to predict obstructive sleep apnea syndrome severity in children: The childhood adenotonsillectomy (CHAT) study randomized clinical trial. JAMA Otolaryngol Head Neck Surg, 2015, 141(2): 130-136.
27. Leitzen KP, Brietzke SE, Lindsay RW. Correlation between nasal anatomy and objective obstructive sleep apnea severity. Otolaryngol Head Neck Surg, 2014, 150(2): 325-331.
28. Leonardis RL, Robison JG, Otteson TD. Evaluating the management of obstructive sleep apnea in neonates and infants. JAMA Otolaryngol Head Neck Surg, 2013, 139(2): 139-146.
29. Katz ES, Mitchell RB, D'Ambrosio CM. Obstructive sleep apnea in infants. Am J Respir Crit Care Med, 2012, 185(8): 805-816.
30. Goroza E, Sagy M, Sagy N, et al. Severity assessment of obstructive sleep apnea syndrome (OSAS) in pediatric patients. Clin Pediatr (Phila), 2009, 48(5): 528-533.
31. Brockmann PE, Schaefer C, Poets A, et al. Diagnosis of obstructive sleep apnea in children: a systematic review. Sleep Med Rev, 2013, 17(5): 331-340.
32. Nixon GM, Kermack AS, Davis GM, et al. Planning adenotonsillectomy in children with obstructive sleep apnea: the role of overnight oximetry. Pediatrics, 2004, 113(1 Pt 1): e19-25.
33. Brouillette R, Morielli A, et al. Nocturnal pulse oximetry as an abbreviated testing modality for pediatric obstructive sleep apnea. Pediatrics, 2000, 105(2): 405-412.
34. Spruyt K, Gozal D. Pediatric sleep questionnaires as diagnostic or epidemiological tools: a review of currently available instruments. Sleep Med Rev, 2011, 15(1): 19-32.
35. Certal V, de Lima FF, Winck JC, et al. Translation and cross-cultural adaptation of the pediatric sleep questionnaire into portuguese language. Int J Pediatr Otorhinolaryngol, 2015, 79(2): 175-178.
36. Bertran K, Mesa T, Rosso K, et al. Diagnostic accuracy of the spanish version of the pediatric sleep questionnaire for screening of obstructive sleep apnea in habitually snoring children. Sleep Med, 2015, 16(5): 631-636.
37. Tomás VM, Miralles TA, Beseler SB. Spanish version of the pediatric sleep questionnaire (PSQ). A useful instrument in investigation of sleep disturbances in childhood. reliability analysis. An Pediatr (Barc), 2007, 66(2): 121-128.
38. 李曉丹, 邰雋, 許志飛, 等. 簡體中文版兒童睡眠問卷應用于北京地區阻塞性睡眠呼吸暫停綜合征兒童篩查的信度和效度評估. 中華耳鼻咽喉頭頸外科雜志, 2016, 51(11): 812-818.
39. Brodsky L. Modern assessment of tonsils and adenoids. Pediatr Clin North Am, 1989, 36(6): 1551-1569.
40. Franco RA, Rosenfeld RM, Rao M. First place--resident clinical science award 1999. Quality of life for children with obstructive sleep apnea. Otolaryngol Head Neck Surg, 2000, 123(1 Pt 1): 9-16.
41. Lee CH, Hsu WC, Chang WH, et al. Polysomnographic findings after adenotonsillectomy for obstructive sleep apnoea in obese and non-obese children: a systematic review and meta-analysis. Clin Otolaryngol, 2016, 41(5): 498-510.
42. Akkari M, Marianowski R, Chalumeau F, et al. French Society of Otorhinolaryngology and Head and Neck Surgery (SFORL) guidelines concerning the role of otorhinolaryngologists in the management of paediatric obstructive sleep apnoea syndrome: follow-up protocol for treated children. Eur Ann Otorhinolaryngol Head Neck Dis, 2018, 135(6): 427-431.
43. Mitchell RB, Archer SM, Ishman SL, et al. Clinical practice guideline: tonsillectomy in children (update). Otolaryngol Head Neck Surg, 2019, 160(1_suppl): S1-S42.1-42.
44. Baugh RF, Archer SM, Mitchell RB, et al. Clinical practice guideline: tonsillectomy in children. Otolaryngol Head Neck Surg, 2011, 144(1 Suppl): S1-30.
45. Kuhle S, Urschitz MS. Anti-inflammatory medications for obstructive sleep apnea in children. Cochrane Database Syst Rev, 2011, 1: D7074.
46. 陳曦, 李進讓. 鼻用激素治療兒童阻塞性睡眠呼吸暫停低通氣綜合征療效的 Meta 分析. 山東大學耳鼻喉眼學報, 2015, 29(2): 9-11, 14.
47. 馬冬梅, 徐佩茹. 孟魯司特鈉治療輕度兒童睡眠呼吸障礙療效的Meta分析. 中國全科醫學, 2013, 16(32): 3828-3832.
48. Liming BJ, Ryan M, Mack D, et al. Montelukast and nasal corticosteroids to treat pediatric obstructive sleep apnea: a systematic review and meta-analysis. Otolaryngol Head Neck Surg, 2019, 160(4): 594-602.
49. Zhang J, Chen J, Yin Y, et al. Therapeutic effects of different drugs on obstructive sleep apnea/hypopnea syndrome in children. World J Pediatr, 2017, 13(6): 537-543.
50. Katherine Clarridge MM. Neuropsychiatric events with the use of montelukast in pediatric patients. Washington D.C. U.S: FDA Joint Meeting of the Pediatric and Drug Safety and Risk Management Advisory Committees, 2019.
51. Pateron B, Marianowski R, Monteyrol PJ, et al. French Society of ENT (SFORL) Guidelines (Short Version) on the Roles of the Various Treatment Options in Childhood Obstructive Sleep Apnea-Hypopnea Syndrome. Eur Ann Otorhinolaryngol Head Neck Dis, 2018, 135(4): 265-268.
52. 中華醫學會兒科學分會呼吸學組睡眠協作組, 《中華實用兒科臨床雜志》編輯委員會. 無創正壓通氣治療兒童阻塞性睡眠呼吸暫停綜合征專家共識(草案). 中華實用兒科臨床雜志, 2016, 31(19): 1451-1455.
53. Camacho M, Chang ET, Song SA, et al. Rapid maxillary expansion for pediatric obstructive sleep apnea: a systematic review and meta-analysis. Laryngoscope, 2017, 127(7): 1712-1719.
54. Machado-Júnior AJ, Zancanella E, Crespo AN. Rapid maxillary expansion and obstructive sleep apnea: a review and meta-analysis. Med Oral Patol Oral Cir Bucal, 2016, 21(4): e465-469.
55. Vale F, Albergaria M, Carrilho E, et al. Efficacy of rapid maxillary expansion in the treatment of obstructive sleep apnea syndrome: a systematic review with meta-analysis. J Evid Based Dent Pract, 2017, 17(3): 159-168.
56. Seif-Eldin NF, Elkordy SA, Fayed MS, et al. Transverse skeletal effects of rapid maxillary expansion in pre and post pubertal subjects: a systematic review. Open Access Maced J Med Sci, 2019, 7(3): 467-477.
57. Carvalho FR, Lentini-Oliveira DA, Prado LB, et al. Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children. Cochrane Database Syst Rev, 2016, (10): CD005520.
58. Yanyan M, Min Y, Xuemei G. Mandibular advancement appliances for the treatment of obstructive sleep apnea in children: a systematic review and meta-analysis. Sleep Med, 2019, 60: 145-151.
59. Andersen IG, Holm JC, Hom?e P. Obstructive sleep apnea in obese children and adolescents, treatment methods and outcome of treatment - a systematic review. Int J Pediatr Otorhinolaryngol, 2016, 87: 190-197.
60. Roche J, Gillet V, Perret F, et al. Obstructive sleep apnea and sleep architecture in adolescents with severe obesity: effects of a 9-month lifestyle modification program based on regular exercise and a balanced diet. J Clin Sleep Med, 2018, 14(6): 967-976.
61. 中華人民共和國國家衛生和計劃生育委員會. 中華人民共和國衛生行業標準WS/T 586-2018: 學齡兒童青少年超重與肥胖篩查, 2018. Avialable at: http://www.nhc.gov.cn/ewebeditor/uploadfile/2018/03/20180329094554367.pdf.
62. Styne DM, Arslanian SA, Connor EL, et al. Pediatric obesity-assessment, treatment, and prevention: an endocrine society clinical practice guideline. J Clin Endocrinol Metab, 2017, 102(3): 709-757.
63. Institute of Medicine. Clinical practice guidelines we can trust. Washington. DC: The National Academies Press, 2011.
64. World Health Organization. WHO handbook for guideline development-2nd ed. Geneva: WHO Press, 2014.
65. Brouwers MC, Kho ME, Browman GP, et al. AGREE II: advancing guideline development, reporting and evaluation in health care. J Clin Epidemiol, 2010, 63(12): 1308-1311.
66. Chen Y, Yang K, Maru?ic A, et al. A reporting tool for practice guidelines in health care: The RIGHT Statement. Ann Intern Med, 2017, 166(2): 128-132.
67. 國家兒童醫學中心首都醫科大學附屬北京兒童醫院, 中華醫學會耳鼻咽喉頭頸外科分會, 中華醫學會小兒外科學分會, 等. 中國兒童阻塞性睡眠呼吸暫停診療指南計劃書. 中國循證醫學雜志, 2020, 20(1): 102-107.
68. 陶歡, 楊樂天, 平安, 等. 隨機或非隨機防治性研究系統評價的質量評價工具AMSTAR 2解讀. 中國循證醫學雜志, 2018, 18(1): 101-108.

Chinese Journal of Evidence-Based Medicine

Chinese guideline for the diagnosis and treatment of childhood obstructive sleep apnea (2020)

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