儿童阻塞性睡眠呼吸暂停相关夜间遗尿的机制与管理研究
陈国艳 贺金娥

延安大学附属医院儿科，陕西延安，716000；

摘要：儿童阻塞性睡眠呼吸暂停（OSA）是儿童群体中常见的健康问题，其与夜间遗尿存在密切关联，OSA患儿中夜间遗尿患病率显著高于普通儿童群体。其发病机制涉及体液因子紊乱、睡眠觉醒调控异常、膀胱功能障碍、自主神经失衡、肥胖与炎症交互作用及遗传因素等。临床监测评估OSA主要通过标准化问卷、多导睡眠监测图等，同时夜间遗尿可借助排尿日记及尿流动力学评估。临床干预以解除上呼吸道梗阻治疗OSA为核心，结合夜间遗尿的针对性治疗及家庭心理支持。未来需多中心大样本协作，建立长期随访数据库，推动 OSA 引起夜间遗尿的精准防治以提高儿童的生活质量。

关键词：儿童阻塞性睡眠呼吸暂停；夜间遗尿症；病理机制；临床干预

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