多导睡眠监测和头颅侧位片在儿童睡眠呼吸障碍诊治中的应用  

Application research of polysomnography and lateral cephalometric radiographs in the diagnosis and treatment of sleep-disordered breathing in children

作　　者：王海鹏[1] 赵允沛[1] 张增[1] 王惠忠[1] 许荣[1] 封新利 满荣军[1] 

机构地区：[1]淄博市中心医院耳鼻咽喉头颈外科,山东淄博255031 [2]淄博市中心医院放射科

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第24期1982-1985,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨多导睡眠监测(PSG)和头颅侧位片(LCR)在儿童睡眠呼吸障碍(SDB)诊治中的应用。方法:选择SDB患儿157例,其中单纯性打鼾(PS)组115例,阻塞性睡眠呼吸暂停低通气综合征(OSAHS)组42例。分别行双侧扁桃体切除和腺样体切除,术前、术后行PSG和LCR检查,对各项测量指标进行统计学分析。结果:PS组和OSAHS组腺样体厚度的差异有统计学意义(P<0.01);鼻咽气道斜径术前差异有统计学意义(P<0.05)。PS组和OSAHS组鼻咽气道斜径和口咽气道前后径术前术后的差异均有统计学意义(均P<0.01)。OSAHS组AHI及LSaO2术前术后差异均有统计学意义(均P<0.01)。PS组总有效率为97.4%(112/115),OSAHS组总有效率为97.6%(41/42)。结论:PSG和LCR在儿童SDB诊治中是重要的参考指标。双侧扁桃体和腺样体切除是治疗儿童SDB的主要手段。Objective：To explore the application of polysomnography （PSG） and lateral cephalometric radio-graphs （LCR） in the diagnosis and treatment of sleep-disordered breathing （SDB） in children. Method：To select 157 eases of children suffering from SDB, 115 cases with primary snoring （PS） and 42 cases with obstructive sleep apnea hypopnea syndrome （OSAHS）. After bilateral tonsillectomy and adenoidectomy, preoperative and postoper- ative LCR and PSG of measure were observed for statistical analysis. Result： Compared the group PS and group OSAHS, the thickness of adenoids was significantly different（P〈0.01）. The preoperative oblique diameter of na- sopharyngeal airway was significantly different （P〈0.05）. There were significant differences on the preoperative and postoperative nasopharyngeal airway oblique diameter and oropharyngeal airway anteroposterior diameter in group PS and group OSAHS （all, P〈0.01）. There were significant differences on the preoperative and postoper- ative AHI and LSaO2 in the group OSAHS （both, P〈0.01）. The total effective rate of group PS was 97.4% （112/115）, and the total effective rate of group OSAHS was 97.6% （41/42）. Conclusion.. PSG and LCR have a very important role in the diagnosis and treatment of SDB in children. Bilateral tonsillectomy and adenoidectomy are the primary means of treatment in children with SDB. Key words

关 键 词：儿童 睡眠呼吸暂停低通气综合征 阻塞性 多导睡眠监测 头颅侧位片 

分 类 号：R563.8[医药卫生—呼吸系统]