膳食炎症指数对儿童OSAHS病情的影响  

Effect of dietary inflammation index on OSAHS in children

作　　者：龙增勇 李恒 文春秀[1] 莫贤海 谢小娟[1] 莫誉华[1] 韦飞虎 LONG Zengyong;LI Heng;WEN Chunxiu;MO Xianhai;XIE Xiaojuan;MO Yuhua;WEI Feihu(Department of Otorhinolaryngology,Guangxi Zhuang Autonomous Region maternal and Child Health Hospital,Nanning,Guangxi,530000,China)

机构地区：[1]广西壮族自治区妇幼保健院,耳鼻喉科,广西南宁530000

出　　处：《中国中西医结合耳鼻咽喉科杂志》2022年第2期136-139,95,共5页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的探讨膳食炎症指数(DII)对儿童阻塞性睡眠呼吸暂停综合征(OSAHS)病情的影响。方法纳入2018年1月至2019年12月因睡眠时打鼾、憋喘、呼吸音粗、张口呼吸等症状来我院就诊并接受多导睡眠(PSG)监测的337例患儿作为研究对象。用食物频率问卷表收集患儿饮食数据,并计数出DII指数。依据DII指数分为促炎饮食组174例(DII正数)和抗炎饮食组163例(DII负数)。根据患儿DII指数进行分级,即DII≤-1.05、DII>-1.05且<-0.33、DII>-0.33且<0.38、DII>0.38且<1.22、DII≥1.22。采用多导睡眠监测(PSG)系统鉴别患儿是否发生OSAHS,根据OSAHS病情划分轻度、中度、重度。采用Kendall相关系数法检验DII与儿童OSAHS的关系。结果促炎饮食组的OSAHS轻度25例、中度22例、重度19例,抗炎饮食组OSAHS轻度11例、中度6例、重度4例;促炎饮食组的OSAHS总发生率为37.93%(66/174)明显高于抗炎饮食组的12.88%(21/163)差异有统计学意义(P<0.001),相对差异度RR=2.94倍。DII指数与儿童OSAHS病情程度呈显著性正相关(Kendall相关系数0.726,P<0.001)。结论促炎饮食与儿童OSAHS病情密切相关,DII指数越高,对儿童OSAHS病情的影响越大。Objective To investigate the effect of dietary inflammatory index(DII)on the condition of obstructive sleep apnea syndrome(OSAHS)in children.Methods From January 2018 to December 2019,337 children who came to our hospital for treatment with symptoms such as snoring,wheezing,thick breath sounds,and mouth breathing during sleep and received polysomnography(PSG)monitoring were included as the research objects.Use the food frequency questionnaire to collect data on the children’s diet,and count out the DII index.According to the DII index,they were divided into 174 cases in the pro-inflammatory diet group(DII positive)and 163 cases in the anti-inflammatory diet group(DII negative).According to the children's DII index to classify,that is,DII≤-1.05,DII>-1.05 and<-0.33,DII>-0.33 and<0.38,DII>0.38 and<1.22,DII≥1.22.Polysomnography(PSG)system were used to identify whether children have OSAHS.According to the OSAHS condition,it is classified as mild,moderate,and severe.The Kendall correlation coefficient method was used to test the relationship between DII and children's OSAHS.Results Inflammation promoting diet group:25 cases of OSAHS were mild,22 cases of OSAHS were moderate and 19 cases of OSAHS were severe.Anti-inflammatory diet group:11 cases of OSAHS were mild,6 cases of OSAHS were moderate and 4 cases of OSAHS were severe.The total incidence of OSAHS in the pro-inflammatory diet group was 37.93%(66/174),which was significantly higher than that in the anti-inflammatory diet group 12.88%(21/163).The difference was statistically significant(P<0.001).The relative difference RR=2.94 times.There was a significant positive correlation between DII index and OSAHS(Kendall correlation coefficient 0.726,P<0.001).Conclusions Inflammation promoting diet is closely related to the condition of OSAHS in children,the higher the DII index,the greater the impact on children's OSAHS.

关 键 词：膳食炎症指数 儿童 阻塞性睡眠呼吸暂停综合征 相关性 

分 类 号：R766[医药卫生—耳鼻咽喉科]