扁桃体腺样体肥大患儿睡眠变化相关因素及术后分析  

Factors related to sleep changes in children with tonsil adenoid hypertrophy

作　　者：南海静 Nan Haijing(Ear,nose,throat and neck surgery at Jilin City Center Hospital,Jilin,132000,China)

机构地区：[1]吉林省吉林市中心医院耳鼻咽喉头颈外科,吉林省吉林市132000

出　　处：《中国医学文摘（耳鼻咽喉科学）》2021年第5期49-51,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的探讨扁桃体腺样体肥大患儿的睡眠变化相关因素及术后分析。方法对在我院行睡眠监测并诊断为OSAHS的184例,将其数据分为2组,其中30≤AHI为71例,AHI>30为113例,患儿进行归纳总结:患儿术前两组的基本情况、睡眠参数(低通气指数,呼吸紊乱指数,平均血氧,最低血氧,体重指数,REM,NREM,深睡,浅睡),并在两组间进行统计学分析。术后所有入组患儿再次复查多导睡眠监测,比较术前及术后两组患儿的AHI结果。结果患儿的平均血氧、低通气指数(OAHI)、快动眼睡眠(REM)、NREM及深睡比较差异均有统计学意义(P<0.01),且BMI与AHI呈相关性。结论肥胖是影响OSAHS严重程度的重要因素,患儿的低通气指数、呼吸紊乱指数、平均血氧、最低血氧、体重指数、REM、NREM、深睡、浅睡与病情严重程度明显相关,儿童睡眠时低氧血症的严重程度与AHI明显相关。且行扁桃体及(或)腺样体切除术后,患者呼吸紊乱指数(AHI)明显好转与术前对比,具有统计学意义,P<0.01。Objective To investigate the factors related to sleep changes and postoperative analysis in children with tonsil adenoid hypertrophy.Methods 184 cases of OSAHS were monitored and diagnosed in our hospital,Divide the data into two groups,Among them,30≤AHI were 71,AHI>30,113 cases,The basic condition,sleep parameters(hypopnea index)of the two groups before operation,Respiratory disturbance index,Average blood oxygen,Minimum blood oxygen,Body mass index,REM,NREM,Deep sleep,Shallow sleep),and statistically analyzed between the two groups.After polysomnography,Compare the AHI results of preoperative and postoperative children.Results The mean blood oxygen,hypopnea index(OAHI),REM sleep(REM),N REM and deep sleep were statistically significant(P<0.01),The BMI is correlated with AHI.Conclusion Obesity is an important factor affecting OSAHS severity,Children with hypopnea index,respiratory disturbance index,mean blood oxygen,minimum blood oxygen,body mass index,REM、NREM、deep sleep,shallow sleep were significantly related to the severity of the disease,Children sleep hypoxemia severity and AHI significantly related.After tonsillectomy and/or adenoidectomy,A significant improvement in the respiratory disturbance index(AHI)of the patients compared with the preoperative,Statistically significant,P<0.01.

关 键 词：睡眠呼吸暂停低通气综合征 阻塞性 儿童 

分 类 号：R76[医药卫生—耳鼻咽喉科]