中国医科大学学报

中国医科大学学报

中国医科大学学报 ›› 2012, Vol. 41 ›› Issue (1): 80–82.

• 临床医学 • 上一篇    下一篇

手术治疗儿童阻塞性睡眠呼吸暂停综合征的疗效分析

王瑾,孙欣,李君   

  1. (中国医科大学附属盛京医院耳鼻喉科,沈阳 110004)
  • 收稿日期:2012-09-19 修回日期:2012-09-19 出版日期:2012-01-01 发布日期:2012-09-21
  • 作者简介:王瑾(1977-),女,主治医师,博士. E-mail:wangj10@sj-hospital.org

Effect of Adenotonsillectomy for Obstructive Sleep Aapnea in Children

WANG Jin, SUN Xin, LI Jun.   

  • Received:2012-09-19 Revised:2012-09-19 Online:2012-01-01 Published:2012-09-21

摘要: 目的 评估肥胖型和正常体质量阻塞性睡眠呼吸暂停综合征(OSA)患儿病情轻重程度以及腺样体、扁桃体切除术后呼吸道参数的变化。 方法,选取我院诊断为OSA的102名儿童作为研究对象,分成肥胖组和正常体质量组,通过多导睡眠监测的方法,检测其腺样体扁桃体切除术术前和术后的呼吸道参数。结果 肥胖组呼吸暂停-低通气指数(AHI)术前的多导睡眠监测值中位数为22.5(5.5~121.4),正常体质量组为16.8(5.9~39.1),差异具有统计学意义(P=0.007)。术后的多导睡眠监测显示肥胖组的AHI中位数为3.2(0~36.4),正常体质量儿童为1.7(0.1~7.2),二者差异具有统计学意义(P<0.01)。51.4%的肥胖患儿和15.5%的正常体质量儿童在术后持续存在OSA症状,二者差异具有统计学意义(P<0.01)。结论 肥胖患儿的AHI评分要高于正常体质量患儿,两组患者在术后的AHI评分显著下降,症状减轻。肥胖患儿术后仍然存在OSA的比例高于正常体质量患儿。

关键词: 肥胖儿童, 阻塞性睡眠呼吸暂停综合征, 腺样体扁桃体切除术

Abstract: Objective To evaluate the relative severity of obstructive sleep apnea (OSA) and changes in respiratory parameters after adenotonsillectomy in obese and normal-weight children. Methods the trial included 102 children that were diagnosed as OSA in our hospital. The study population included obese group and normal-weight group as controls. All study participants underwent pre- and postoperative polysomnography. Results The median obstructive apnea-hypopnea index (AHI) was 22.5(3.5~121.4)for obese group and 16.8 (2.9~39.1) for normal-weight group preoperatively (P=0.007). The median AHI was 3.2(0~36.4)for obese group and 1.7 (0.1~7.2 for normal-weight group postoperatively( P<0.01 ). Nineteen obese children (19/37, 51.4%) and 9 controls (9/58, 15.5%) had persistent OSA, which showed significant difference between the clinical effect of the obese children and the controls, postoperatively (P<0.01). Conlusion AHI scores were higher in obese group than that of normal-weight group with OSA. Both groups showed a dramatic improvement in AHI after adenotonsillectomy, but persistent OSA was more common in obese children than the normal-weight children.

Key words: obese children, obstructive sleep apnea, adenotonsillectomy

中图分类号: 

  • R766.9
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[1] 孙欣,王瑾,柳斌,王鑫启,季文樾. 儿童腺样体切除术后原发性出血原因分析及治疗[J]. 中国医科大学学报, 2012, 41(9): 841-846.
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