OSAHS患儿抗反流治疗前后血氧饱和度的变化  

Blood oxygen saturation changes of children with OSAHS anti reflux before and after treatment

作　　者：张海生 周雪冰 葛玥铭 

机构地区：[1]唐山妇幼医院耳鼻喉科,河北唐山063000

出　　处：《中国实验诊断学》2015年第9期1498-1500,共3页Chinese Journal of Laboratory Diagnosis

摘　　要：目的研究OSAHS患儿抗反流治疗前后血氧饱和度的变化。方法入选2012年2月至2014年2月我院50例入院治疗OSAHS患儿作为观察组进行研究,另选择50例健康小儿作为对照组。在观察组患者治疗前后对所有研究对象的血氧饱和度进行检测,并观察分析其变化。结果两组研究对象在治疗前,观察组的夜间平均最低血氧饱和度明显低于对照组水平,差异具有统计学意义(P<0.05);治疗之后,两组研究对象的夜间平均最低血氧饱和度仍存在差异,但是观察组水平得到有效改善。两组研究对象的全血还原黏度以及红细胞聚集指数水平比较,观察组的两项指标均得到有效改善,差异具有统计学意义(P<0.05)。两组研究对象在观察组治疗之前,红细胞数量以及血红蛋白数量具有显著差异,差异具有统计学意义(P<0.05)。在观察组治疗之后,两组的红细胞数量以及血红蛋白数量无显著差异(P>0.05)。结论对OSAHS患儿实施抗反流治疗,能够改善患儿的血氧饱和度,但是不能对OSAHS治愈。因此,抗反流治疗对于OSAHS患儿只能作为辅助性的方法。Objective To study blood oxygen saturation changes of children with OSAHS anti reflux before and af-ter treatment.Methods 50 cases of children with OSAHS hospitalized from February 2012 to February 2014 in our hospital were as observation group ,another 50 cases of healthy children were selected as control group.Blood oxygen saturation of all the study objects before and after treatment were detected of patients of the observation group,its changes were observed and analyzed.Results The study objects of two groups before treatment,average lowest oxygen saturation of the observation group was significantly lower than the level of control group,the difference had statistical significance （P 〈 0.05）;After treatment ,there were still differences between nocturnal average the lowest oxygen sat-uration of the study objects of two groups ,but level of the observation group was improved effectively.The comparison of whole blood reduced viscosity and erythrocyte aggregation index level of study objects of two groups ,the two inde-xes of the observation group were improved,the difference had statistical significance（P 〈0.05）.The study objects of two groups before treatment of observation group,the number of red cells and hemoglobin had significant difference,the difference had statistical significance （P 〈 0.05）.;After treatment of the observation group ,there were no significant differences between the numbers of red blood cell count and hemoglobin of two groups.Conclusion Children with OS-AHS are given anti reflux treatment and can improve children＆#39;s blood oxygen saturation ,but OSAHS cannot be cured. Therefore,anti reflux treatment for children with OSAHS was only as auxiliary way.

关 键 词：OSAHS 抗反流治疗 血氧饱和度 变化 

分 类 号：R766[医药卫生—耳鼻咽喉科]