鼻呼吸量在儿童阻塞性睡眠呼吸暂停低通气综合征生活质量评估中的应用  

Application of nasal spirometry in the assessment of quality of life of the children with obstructive sleep apnea hypopnea syndrome

作　　者：杨媛媛[1] 蔡谦[1] 邹华[1] 

机构地区：[1]中山大学孙逸仙纪念医院耳鼻咽喉头颈外科,广东广州510120

出　　处：《中国耳鼻咽喉头颈外科》2013年第1期4-7,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨鼻呼吸量在儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者生活质量评估中的价值及意义。方法 65例儿童OSAHS患者术前、术后1个月、术后6个月,分别行鼻呼吸量检查、儿童OSAHS特异性生活质量调查表(OSA-18)调查,对所得数据进行统计学分析。结果术后1个月鼻呼吸量改善程度与OSA-18总评分变化存在正相关(r_s=0.686,P<0.001);术后6个月鼻呼吸量的改善程度与OSA-18总评分变化存在正相关(r_s=0.604,P<0.001)。结论鼻呼吸量的改善程度与OSA-18评分变化值的一致性高,鼻呼吸量检查可以作为儿童OSAHS生活质量评估的参考客观依据之一。OBJECTIVE To explore the value and significance of nasal spirometry in the assessment of quality of life of the children with obstructive sleep apnea hypopnea syndrome. METHODS All the children with OSAHS（65 cases） were completed nasal spirometry examination and the questionnaire survey, which was called disease specific quality of life for children with obstructive sleep apnea 18 items survey （OSA-18） before operation and one month and six month after operation. And then we analyzed all the date with SPSS 16.0 for windows. Statistical test were used according to different types of the data. P〈0.05 was considered statistically significant. RESULTS There were positive association between the improvement of nasal spiromerty and OSA- 18 at one （rs=0.686, P〈0.001） and six months （rs=0.604, P〈0.001） after operation. CONCLUSION There was good consistency of the improvement of nasal spirometry and OSA-18, in the other words, nasal spirometry could be used as one of the objective parameters to assess the quality of life of children with OSAHS.

关 键 词：睡眠呼吸暂停 阻塞性 儿童 鼻呼吸量 

分 类 号：R766[医药卫生—耳鼻咽喉科]