鼾症儿童中OSAHS患儿的临床观察  

Clinical observation on obstructive sleep apnea-hypopnea syndrome cases in snoring children

作　　者：黄群[1] 江萍[2] 

机构地区：[1]南京医科大学附属南京儿童医院耳鼻咽喉科,南京210008 [2]南京大学口腔医学院南京市口腔医院

出　　处：《临床耳鼻咽喉头颈外科杂志》2010年第3期111-113,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨鼾症儿童行PSG检查的必要性。方法:应用PSG对162例以打鼾为主诉的患儿进行夜间连续睡眠呼吸监测,以PSG的监测结果作为诊断依据,将患儿分成阻塞性睡眠呼吸暂停低通气综合征(OSAHS)组及原发性打鼾(PS)组。监测指标:AHI、鼾声指数、最低血氧饱和度(LSaO2)、SaO2<0.9的时间等,对各指标进行统计分析。结果:162例鼾症儿童中确诊为OSAHS150例(92.6%),PS者12例(7.4%)。两组患儿的年龄、性别比、体质指数(BMI)差异均无统计学意义,而两组患儿的AHI、鼾声指数、LSaO2、SaO2<0.9的时间的差异均有统计学意义(P<0.05)。结论:打鼾儿童应及早行PSG检查,以便早期诊断及治疗OSAHS,避免OSAHS的并发症产生。Objective：To explore the necessity of monitoring polysomnography （PSG ） in snoring children.Method：The PSG were monitored in 162 children with snoring or apnea.Acording to results of PSG,162 cases were separated into two groups：group obstructive sleep apnea hypopnea syndrome（OSAHS） and group primary snoring（PS）,monitoring data including：apnea hypopnea index（AHI）,snoring index（SI）,lowest oxygen saturation（LSaO2） and time of SaO20.9,all data were undertaked statistical analysis. Result：In all 162 snoring cases,150 cases（92.6%） belong to group OSAHS,12 cases（7.4%） belong to group PS;Differences of data of age,sex and body mass index（BMI） are not significant but that of AHI,SI,LSaO2 and time of SaO20.9 are significant（P0.05）.Conclusion：It＇s necessary to monitor PSG in snoring children for early diagnosis and correct treatment to avoid disadvantage of OSAHS.

关 键 词：睡眠呼吸暂停低通气综合征 阻塞性 打鼾 儿童 多导睡眠仪 

分 类 号：R563.8[医药卫生—呼吸系统]