婴幼儿阻塞性睡眠呼吸暂停低通气综合征诊治特点  

Obstructive sleep apnea hypopnea syndrome in infants

作　　者：刘卫一[1] 赵靖[1] 安嘉清[1] 杨小健[1] 张亚梅[1] 

机构地区：[1]首都医科大学附属北京儿童医院耳鼻咽喉科,北京100045

出　　处：《中国耳鼻咽喉头颈外科》2008年第1期7-10,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨婴幼儿阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)的临床特征及诊断和治疗要点。方法回顾性分析2004年1月～2007年6月收治的80例年龄在30个月以下的OSAHS患儿的临床资料。其中男61例,女19例,男女比例3.2:1;平均年龄(23.9±5.3)个月;平均病程(8.9±6.1)个月。80例患儿存在不同程度的睡眠打鼾、张口呼吸、呼吸暂停、反复上呼吸道感染和生长发育迟缓等症状。经体格检查、纤维鼻咽镜检查和多道睡眠图监测明确诊断。80例均行手术治疗,术后随访3个月～1年。结果80例患儿手术顺利,术中、术后无1例并发症发生;5例患儿术前、术后给予正压通气治疗。术后随访,治愈64例,显效14例,有效2例。结论婴幼儿OSAHS是一种严重危害婴幼儿身心健康,影响婴幼儿生长发育的疾病,应根据婴幼儿OSAHS特有的临床特征,详细询问病史,进行相关检查,及时明确诊断,早期给予包括手术在内的综合治疗,从而减少并发症的出现。OBJECTIVE To investigate the clinical features, diagnosis and treatment of obstructive sleep apnea hypopnea syndrome （OSAHS） in infants. METHODS Retrospective study of 80 infants younger than thirty months old were collected for the clinical trial between January 2004 and June 2007. All the patients were diagnosed according to physical examination, nasopharyngoscope examination and polysomnography （PSG）. There were 61 males and 19 females, with a mean of （23.9 ±5.3） months old. The average courses of disease were （8.9±6.1） months. All the patients had the symptoms of sleep snoring, apnea, recurrent upper airway infections or growth retardation. All the patients were treatment with surgeries and followed up post- surgery in three months to one year. RESULTS There was no surgical complication among all the patients. Sixty-four patients （80 %） were cured and 14 patients （17.5 %） were improved, Two patients still with the symptoms of snoring and mouth breathing. CONCLUSION OSAHS in infants had obviously effect on the physical and mental development, so people should attend to the characters and initiation potential, and give treatments soon after diagnosis.

关 键 词：婴儿 睡眠呼吸暂停 阻塞性 多道睡眠描记术 

分 类 号：R766[医药卫生—耳鼻咽喉科]