儿童阻塞性睡眠呼吸暂停低通气综合征患者睡眠呼吸监测分析  

Polysomnography analysis in children

作　　者：王卫之[1] 王岩[1] 李延忠[1] 蔡晓岚[1] 王廷础[1] 

机构地区：[1]山东大学卫生部耳鼻咽喉科学重点实验室,济南250012

出　　处：《临床耳鼻咽喉科杂志》2005年第3期114-116,共3页Journal of Clinical Otorhinolaryngology

摘　　要：目的:分析儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的多导睡眠监测特点。方法:采用32 导多导睡眠仪(PSG),Polysmith睡眠分析软件,按国际通用导联连结方法对45例睡眠打鼾儿童进行整夜监测, 比较OSAHS患儿(OSAHS组)与单纯打鼾儿童(单纯打鼾组)的PSG监测结果。结果:OSAHS组:平均年龄 (7.3±3.8)岁,平均体重(40.1±19.7)kg;非快速眼动期1、2、3+4期,快速眼动期所占时间的比例分别为(21.4 ±13.2)%、(43.1±13.7)%、(26.1±14.0)%和(9.4±6.0)%,与单纯打鼾组比较,差异无统计学意义(P> 0.05);OSAHS组平均呼吸暂停低通气指数为(12.8±8.1)次/h,呼吸暂停指数为(6.7±6.6)次/h,低通气指数 为(6.1±5.1)次/h。结论:OSAHS对儿童睡眠结构影响较轻,睡眠结构相对完整。Objective:To analyze the characteristics of Polysomnography(PSG) in children with obstructive sleep apnea-hypopnea syndrome(OSAHS).Method:Forty-five children with sleep breathing disorder were studied with 32 guide PSG and analyzed by Polysmith.PSG resulfs of OSAHS children were compared with primary snore group.Result:The mean age of OSAHS children was(7.3±3.8)years and the mean body weight was(40.1±19.7)kg.The mean value of NREM stage 1,stage 2,stage 3+4 and REM stage was(21.4±13.2)%、(43.1±13.7)%、(26.1±14.0)% and(9.4±6.0)% respectively.The sleep structure between OSAHS group and primary snore group was not significant(P>0.05).The mean value of AHI of OSAHS children was(12.8±8.1)h,AI was(6.7±6.6)h,HI was(6.1±5.1)h.Conclusion:The sleep structure of children is prefect and mild effected by OSAHS.

关 键 词：睡眠呼吸暂停低通气综合征 阻塞性 儿童 多导睡眠监测 

分 类 号：R563.8[医药卫生—呼吸系统]