不同体质指数的阻塞性睡眠呼吸暂停低通气综合征患儿多导睡眠图监测分析  

Analysis of Polysomnagraphy in Pediatric Obstructive Sleep Apnea Hypopnea Syndrome with Different Body Mass Index

作　　者：韩锋锋[1] 林建海[1] 

机构地区：[1]上海第二医科大学附属新华医院呼吸科,上海200092

出　　处：《实用儿科临床杂志》2005年第10期976-977,共2页Journal of Applied Clinical Pediatrics

摘　　要：目的通过对不同体质指数(BMI)的阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患儿的多导睡眠图(PSG)监测结果分析,探讨BMI与OSAHS患儿病情的关系。方法9例高BMI、10例低BMI和25例正常BMI经全夜PSG监测明确诊断OSAHS的患儿,对其PSG监测的夜间血氧和睡眠结构各项指标进行分析比较。结果高BMI组睡眠呼吸暂停低通气指数(AHI)为(21.61±742)次/h,SaO2低于90%的持续时间占睡眠时间的百分比(SLT)90%为(74.11±4.84)%、最长睡眠呼吸暂停时间(TL)为(14020±52.86)s,显著高于正常BMI组(P<0.01);SaO2的低谷值(SaO2L)为(70.67±831)%明显低于正常BMI组(P<0.05);低BMI组AHI为(17.18±7.43)/h,TL为(113.50±14.77)s,显著高于正常BMI组(P<0.05)。结论肥胖与消瘦的OSAHS患儿其疾病程度重于正常BMI的OSAHS患儿.尤其是肥胖的OSAHS儿童。Objective To investigate the relationship of pediatric obstructive sleep apnea hypopnea syndrome （OSAHS） with different body mass index（BMI） and the severity of OSAHS. Methods Nine children with high BMI, 10 children with low BMI and 25 children with normal BMI which were monitored and diagnosed OSAHS by nocturnal polysoninography（ PSG ）, and the parameters of PSG were analyzed, Results The high BMI group findings were significantly higher AHI（21.61 ± 7.42 vs 11.32 ± 4.16 P〈 0.01）.Higher SLT 90%（7.41±4.84 vs 1.99±1.70 P〈 0. 01） , and longer TL（140. 20 ± 52. 86 vs 83.47±42.99 P〈0.01） and lower SaO2（70.67 ± 8.31 vs 79.9 3 ± 8.30 P〈 0.05 ） than those in normal BMI group. The low BMI group findings in higher AHI（17.18±7.43 vs 11.32±4.16 P〈0.05）.Longer TL（113.50±14.77 vs 83. 47±42. 99 P〈0.05）than those in normal BMI group. Conclusion The severity of OSAHS with obesity or thin is heavier than normal BMI in children, especially the obese OSAHS children.

关 键 词：阻塞性睡眠呼吸暂停综合征 人体质量指数 儿童 多道睡眠描记术 

分 类 号：R766[医药卫生—耳鼻咽喉科]