Çocukluk Çağında Uyku Bozukluklarının Klinik Değerlendirilmesi: Polisomnografi Temelli Çalışma

Abstract

Obstrüktif uyku apne sendromu (OSAS) pediatrik popülasyonda giderek daha fazla tanınmaktadır. Bazı pulmoner ve endokrinolojik bozuklukların OSAS'tan etkilenebileceği veya OSAS'ın varlığı nedeniyle daha şiddetli bir klinik seyir gösterebileceği dikkate alınmalıdır. Bu çalışmada pediatrik yaş grubunda polisomnografi uygulaması, kronik komorbiditelerde özellikle endokrinolojik ve solunum yolu hastalıklarında uyku bozukluklarının tanısı konulması, tedavi edilmesi ve hastaların sağlıklı gelişimi için yaşam kalitesi iyileştirme önemlerinin vurgulanması amaçlanmıştır. Bursa Uludağ Tıp Fakültesi Nöroloji Anabilim Dalı, Uyku Bozukluklarının Birimi, Ocak 2020 ile Nisan 2025 tarihleri arasında yapılan PSG kayıtları geriye dönük olarak incelendi. Yapılan PSG kayıtları arasında Pediatrik Endokrinoloji ve Metabolizma, Pediatrik Göğüs hastalıkları ve Pediatrik İmmünoloji ve Alerji bölümlerinden yönlendirilen hastalar araştırıldı. Bizim merkezde yapılan PSG sonuçlarında endokrinolojik veya solunumsal hastalığı eşlik eden çocuklarda OSAS’ın görülme sıklığı normal pediatrik popülasyonuna göre daha yüksek (%25.7 vs %3), ortalama yaşı daha büyük (7yaş vs 4yaş) saptanmıştır. Bu hastalar ve normal çocuklarda uyku bozuklukları görülme oranı benzer (%54,4 vs >%50), santral apne sıklığı ise literatürden farksız saptanmıştır (%2.9). Uyku bozukluğu olan hastalarda cinsiyet farkı görülmemiştir.

Keywords

• Uyku Bozuklukları
• Çocukluk Çağı
• Polisomnografi
• Endokrinolojik Bozukluklar
• Solunum Hastalıkları

Clinical Evaluation of Sleep Disorders in Childhood: A Polysomnography-Based Study

Abstract

Obstructive Sleep Apnoea Syndrome (OSAS) is increasingly recognised in the paediatric population. It is important to consider that certain pulmonary and endocrinological disorders may be influenced by OSAS or exhibit a more severe clinical course due to the presence of OSAS. This study aims to highlight the application of polysomnography in the paediatric population, particularly in the diagnosis and treatment of sleep disorders associated with chronic comorbidities—most notably endocrinological and respiratory conditions—and to emphasise the importance of improving quality of life measures to support healthy development in affected children. Polysomnography (PSG) recordings obtained between January 2020 and April 2025 at the Sleep Disorders Unit of the Department of Neurology, Faculty of Medicine, Bursa Uludag University, were retrospectively reviewed. Among these PSG records, patients referred from the Departments of Paediatric Endocrinology and Metabolism, Paediatric Pulmonology, and Paediatric Immunology and Allergy were identified. Demographic data, medical history, and PSG findings of the included patients were analysed. The results of polysomnography (PSG) performed in our center showed that the incidence of obstructive sleep apnea syndrome (OSAS) in children with endocrinologic or respiratory diseases was higher (25.7% vs. 3%) and the mean age was older (7 years vs. 4 years) compared to the normal pediatric population. The prevalence of sleep disorders was similar in these patients and normal children (54.4% vs. >50%), as was the prevalence of central apnea (2.9%). There were no gender differences among patients with sleep disorders.

Keywords

• Sleep Disorders
• Childhood
• Polysomnography
• Endocrinologic Disorders
• Respiratory Diseases

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