阻塞性睡眠呼吸暂停综合征患儿分泌性中耳炎发病分析  

Analysis of incidence of otitis media with effusion in children with obstructive sleep apnea syndrome

作　　者：陈洁[1] 杨军[1] 吴皓[1] 曹荣萍[1] 陈向平[1] 向明亮[1] 

机构地区：[1]上海第二医科大学附属新华医院耳鼻咽喉头颈外科,上海200092

出　　处：《中国耳鼻咽喉头颈外科》2005年第1期17-19,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的分析小儿阻塞性睡眠呼吸暂停综合征(obstructivesleepapneasyndrome,OSAS)群体中伴发分泌性中耳炎(otitismediawitheffusion,OME的发病情况。方法回顾性分析2000年1月至2004年5月在我科住院治疗的OSAS患儿260例中伴发OME的发病情况、声导抗、多导睡眠监测检查结果及其治疗方法。103例(130耳)行鼓室穿刺术,27例患儿(35耳)行鼓膜置管术。结果260例小儿OSAS病例中伴OME130例(165耳),睡眠呼吸暂停和低通气指数(apneahypopneaindex,AHI)与腺样体肥大程度有相关性,腺样体病理性肥大者中重度OSAS病例数明显高于腺样体中度肥大者。AHI与不同类型鼓室图未发现有明显的相关性。结论小儿OSAS群体中伴发OME的发病率较高,对OSAS小儿常规进行声导抗检查是十分必要的。OBJECTIVE To determine the incidence of otitis media with effusion(OME)in children with ob- structive sleep apnea syndrome. METHODS The inci- dence of OME in 260 children with obstructive sleep apnea syndrome(OSAS)and relative data of acoustic impedance and polysomnography(PSG)were analyzed. RESULTS 130 patients (165ears) were diagnosed as OME in the 260 patients with OSAS. There was a posi- tive correlation between the apnea hypopnea index (AHI) and the grade of adenoid hypertrophy. The number of severe OSAS patients in the group of pathologic ad- enoid hypertrophy was significantly more than that in the group of moderate adenoid hypertrophy. There was no correlation between AHI and the patterns of the tympanogram. 103 patients (130 ears) underwent my- ringotomy and 27 patients (35 ears) underwent tympanostomy tube insertion. CONCLUSION The in- cidence of OME was very high in the children with OSAS. It was necessary to do the examination of acoustic impedance routinely in children with OSAS.

关 键 词：OSAS 分泌性中耳炎 阻塞性睡眠呼吸暂停综合征 患儿 发病分析 声导抗 小儿 相关性 检查结果 穿刺术 

分 类 号：R764[医药卫生—耳鼻咽喉科]