儿童阻塞性睡眠呼吸暂停低通气综合症的临床分析  

Clinical analysis of obstructive sleep apnea hypopnea syndrome in children

作　　者：殷晓东[1] 王妍娣 王文彬[1] 

机构地区：[1]苏州市立医院耳鼻咽喉科,江苏苏州215000

出　　处：《医药论坛杂志》2011年第24期22-24,共3页Journal of Medical Forum

摘　　要：目的探讨儿童阻塞性睡眠呼吸暂停低通气综合症(OSAHS)的临床特征、诊断方法和治疗特点。方法总结43例OSAHS患儿术前临床特征、鼻咽侧位片和19例患儿多导睡眠监测(PSG)特点。结果 OSAHS患儿的主要症状是入睡打鼾、张口呼吸、呼吸暂停、听力下降。术后随访3个月～1年,上、中咽气道间隙的狭窄或阻塞明显改善,睡眠打鼾、张口呼吸和憋气等症状消失32例,明显减轻8例,复发3例,复发原因是单侧扁桃体代偿性增生,总有效率为93.0%。结论儿童OSAHS有其自身的特点,PSG是诊断依据,腺样体和扁桃体手术是主要治疗方法。Objective To explore the clinical features and diagnosis and the treatment of obstructive sleep apnea hypopnea syndrome（OSAHS）.Methods Totally 43 cases with OSAHS were reviewed including clinical features and cephalometric analsis,19 of them were studied of polysomnography（PSG）.Results The major symptoms of patients with OSAHS are snoring in sleep,breathing opening mouth,apnea,hearing loss.Follow-up 3 months to 1 year,43 patients were preformed with adentotonsillectomy,upper airway obstruction caused by adentonosillar hypertrophy were enlarged remarkably.32 cases main symptoms（snoring,mouth breathing and apnea）disappeared completely,8 cases were relief 3 cases were reappear.Conclusions Children with OSAHS has signification themselves;PGS is the major means for diagnosing.surgery is main method for treating.

关 键 词：睡眠呼吸暂停 阻塞 儿童 多导睡眠监测 

分 类 号：R725.6[医药卫生—儿科]