睡眠呼吸障碍对儿童心理行为的影响及手术治疗的意义  

Effect of sleep related breathing disorders on psychological behavior and the significance of surgical treatment in children

作　　者：马云霞[1,2] 刘业海[1] 臧艳[1,2] 

机构地区：[1]安徽医科大学第一附属医院耳鼻咽喉头颈外科,安徽合肥230022 [2]安徽医科大学第四附属医院耳鼻咽喉头颈外科,安徽合肥230051

出　　处：《中国耳鼻咽喉头颈外科》2011年第7期385-388,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

基　　金：安徽省教育厅重点项目(KJ2009A176)

摘　　要：目的探讨睡眠呼吸障碍(sleep-related breathing disorders,SRBD)对儿童心理行为的影响及扁桃体、腺样体切除术的治疗作用。方法采用多道睡眠图监测对58例打鼾患儿进行睡眠监测;选取与其条件相当且无任何躯体及精神疾病的50例儿童作为对照组,对所有研究对象应用Achenbach儿童行为量表进行心理行为测量,58例患儿术后6个月再次进行心理行为评定。采用SPSS13.0进行统计分析。结果 SRBD组儿童行为异常检出率及总粗分明显高于对照组;男孩主要表现在分裂性、交往不良、强迫性、违纪、多动方面,女孩主要表现在体诉、多动、社交退缩、抑郁方面。行扁桃体、腺样体切除术6个月后,男孩在分裂性、抑郁、体诉、强迫性方面分数及总粗分明显低于术前值,差异均有统计学意义(P<0.05);女孩在抑郁、多动、体诉、攻击、社交退缩方面分数及总粗分明显低于术前值,差异均有统计学意义(P<0.05)。结论 SRBD明显影响儿童心理行为的发育,应尽早干预;扁桃体、腺样体切除术对SRBD有显著的治疗作用。OBJECTIVE To investigate the effect of sleep related breathing disorders on children psychological behavior and the significance of tonsillectomy and adenoidectomy.METHODS The sleep related breathing disorders were diagnosed in 58 children with snoring through polysomnography.Another 50 children without snoring served as the control group.The psychological behavior was measured by using Achenbach Child Behavior Checklist（CBCL）in all children and psychological behavior was measured again in 58 patients with sleep-disordered breathing 6 months after tonsillectomy and adenoidectomy.SPSS13.0 software was used for data statistical analysis.RESULTS The abnormal behavior detection rate and total coarse points in children with sleep-disordered breathing was signiflcantly higher than those in control group（P0.05）.The abnormal behavior in many items were improved after tonsillectomy and adenoidectomy 6 months later（P0.05）.CONCLUSION Sleep-disordered breathing in？uences the development of psychological behavior in children.Tonsillectomy and adenoidectomy can improve the psychological behavior.

关 键 词：睡眠呼吸暂停 阻塞性 儿童 行为 ACHENBACH儿童行为量表 

分 类 号：R766[医药卫生—耳鼻咽喉科]