复发性眩晕患儿连续多导睡眠监测分析  

Analysis of continuous polysomnography in children with recurrent vertigo

作　　者：邵永良 刘南仙 张爱英[2] 赵宇亮 韩琳[4] 薛静 孙怡君 杨泽垠 SHAO Yongliang;LIU Nanxian;ZHANG Aiying;ZHAO Yuliang;HAN Lin;XUE Jing;SUN Yijun;YANG Zeyin(Department of Otorhinolaryngology Head and Neck Surgery,Shijiazhuang People's Hospital,Shijiazhuang,050000,China;Department of Otorhinolaryngology,Children's Hospital of Hebei Province;Department of Otorhinolaryngology,Second Hospital of Hebei Medical University;Department of Otorhinolaryngology,Shijiazhuang Traditional Chinese Medicine Hospital)

机构地区：[1]石家庄市人民医院耳鼻咽喉头颈外科,石家庄050000 [2]河北省儿童医院耳鼻咽喉科 [3]河北医科大学第二医院耳鼻咽喉科 [4]石家庄市中医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2023年第4期258-262,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：河北省卫生健康委科研基金项目(No:20211142)。

摘　　要：目的:通过对复发性眩晕(recurrent vertigo of children,RVC)患儿客观睡眠情况的分析,探讨RVC患儿的睡眠情况与疾病之间的关系。方法:根据RVC诊断标准,选取RVC患儿(RVC组)50例和非RVC健康儿童(对照组)20例。根据眩晕问卷调查评分将RVC组按严重程度分为轻、中、重3组。所有入组人员均行连续多导睡眠监测(PSG),应用SPSS 25.0统计学软件对PSG各项结果进行统计学分析。结果:①RVC组与对照组在各期睡眠时间及总睡眠时间(total sleep time,TST)、睡眠效率(sleep efficiency,SE)间的差异有统计学意义(P<0.05),在睡眠潜伏期间的差异无统计学意义(P>0.05)。具体表现为RVC组患儿N1及N2期睡眠时间比例增高,N3及快速眼动微睡眠期睡眠时间比例降低,TST减少,SE减低。②RVC组睡眠呼吸暂停低通气指数的异常率,即AHI≥5次/h的比例及最低SpO_(2)异常率均高于正常对照组,差异有统计学意义(P<0.05)。③轻度组、中度组、重度组3组间的AHI及最低SpO_(2)异常率比较差异有统计学差异(P<0.05)。④RVC患儿的眩晕程度与AHI的异常率无显著相关性(P>0.05);RVC患儿的眩晕程度与最低SpO_(2)异常率呈负相关性(P<0.05)。结论:RVC患儿常伴有睡眠障碍,临床医生应同时关注患儿的眩晕症状及睡眠情况。PSG可操作性强,而且无创,为儿童RVC的辅助检查提供了新的思路。积极改善眩晕症状,注意提升睡眠质量,对RVC患儿的综合治疗具有一定的临床意义。Objective: To explore the relationship between sleep status and the disease in children with recurrent vertigo(RVC)by analyzing the objective sleep condition of children with recurrent vertigo.Methods: According to the diagnostic criteria of RVC,50 children with RVC and 20 normal controls without RVC were selected.According to the vertigo questionnaire score,the RVC group was divided into mild,moderate and severe groups according to severity.Continuous polysomnography(PSG)was performed for all participants,and SPSS 25.0 statistical software was used to analyze the monitoring results.Results:①There were significant differences in sleep time of each period,total sleep time and sleep efficiency between RVC group and control group(P<0.05),but there was no significant difference in sleep latency(P>0.05).The specific manifestations were that the proportion of sleep time in N1 and N2 phases increased,the proportion of sleep time in N3 and REM phases decreased,the total sleep time and sleep efficiency decreased in RVC group.②The abnormal rate of sleep apnea hypopnea index,that is,the proportion of AHI≥5 times/h and the abnormal rate of lowest blood oxygen saturation in RVC group were higher than those in normal control group.There was significant difference between the two groups(P<0.05).③There were significant differences in the proportion of AHI≥5 times/h and lowest SpO_(2) among mild group,moderate group and severe group(P<0.05).④There was no significant correlation between the degree of vertigo and the abnormal rate of AHI in children with RVC,but there was a negative correlation between the degree of vertigo and the abnormal rate of lowest SpO_(2) in children with RVC.Conclusion: Children with RVC are often accompanied by sleep disorders,clinicians should pay attention to both the symptoms of vertigo and sleep condition in children.Polysomnography is non-invasive and operable,providing a new idea to the auxiliary examination of RVC in children.It is of certain clinical significance for the comprehensive

关 键 词：复发性眩晕 儿童 多导睡眠监测 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]