扩弓疗法联合扁桃体/腺样体切除术对儿童阻塞性睡眠呼吸暂停低通气综合征上气道结构异常的影响  

Effects of arch expansion therapy combined with tonsillectomy/adenoidectomy on upper airway structural abnormalities in children with obstructive sleep apnea hypopnea syndrome

作　　者：伊里夏提·卡米力 古丽尼格尔·吾布力 张晓莉[1] 陈晓涛[1] YILIXIATI·Kamili;GULINIGEER·Wubuli;ZHANG Xiaoli;CHEN Xiaotao(The People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830001,China)

机构地区：[1]新疆维吾尔自治区人民医院,乌鲁木齐830001

出　　处：《长春中医药大学学报》2023年第6期670-673,共4页Journal of Changchun University of Chinese Medicine

基　　金：新疆维吾尔自治区自然科学基金计划特培项目(2021D03010)。

摘　　要：目的 探究扩弓疗法联合扁桃体/腺样体切除术对儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)上气道结构异常的影响。方法 选择扁桃体/腺样体切除术治疗的120例儿童阻塞性睡眠呼吸暂停低通气综合征患儿,根据随机数表法分为对照组与扩弓疗法组,各60例。对照组使用扁桃体/腺样体切除术;扩弓疗法组在对照组的基础上使用扩弓疗法,观察2组手术前后睡眠呼吸暂停低通气指数(AHI)、OAI、最低动脉血氧饱和度(LSaO_(2))、AI、LMI表达、浅呼吸、正常呼吸、临床治疗效果、手术效果。结果 2组手术后扩弓疗法组AHI、OAI、AI、LMI、浅呼气、正常呼气低于对照组,LSaO_(2)高于对照组(P<0.05)。扩弓疗法组的手术时间、白膜脱落时间、症状缓解时间、住院时间均短于对照组,术中出血量少于对照组(P<0.05)。扩弓疗法组治疗有效率(93.33%,56/60)高于对照组(76.67%,46/60)(P<0.05)。结论 扩弓疗法联合扁桃体/腺样体切除术可以改善患儿的呼吸、多导睡眠监测(PSG)各项主要指标,缩短手术效果,提高治疗有效率,改善儿童阻塞性睡眠呼吸暂停低通气综合征上气道结构。Objective To explore the effects of arch expansion therapy combined with tonsillectomy/adenoidectomy on upper airway structural abnormalities in children with obstructive sleep apnea hypopnea syndrome(OSAHS).Methods A total of 120 children with OSAHS treated by tonsillectomy/adenoidectomy were selected and divided into the control group and the arch expansion therapy group according to the random number table method,60 cases in each group.The control group was treated with tonsillectomy/adenoidectomy,and the arch expansion therapy group was treated with arch expansion therapy on the basis of the treatment of the control group.Sleep apnea hypoventilation index(AHI),obstructive apnea index(OAI),arterial oxygen saturation(SaO_(2)),apnea index(AI),limb movement index(LMI)expression,shallow breathing,normal breathing,clinical treatment effect,and surgical effect were observed between the 2 groups before and after surgery.Results After surgery in both groups,in the arch expansion therapy group AHI,OAI,AI,LMI,shallow breath and normal breath were lower than those in the control group,and SaO_(2) was higher than that in the control group(P<0.05).In the arch expansion therapy group the operation time,time of white membrane shedding,symptom remission time,and hospital stay were all shorter than those in the control group,and the intraoperative bleeding volume was less than that in the control group(P<0.05).The effective rate of the arch expansion group(93.33%,56/60)was higher than that of the control group(76.67%,46/60)(P<0.05).Conclusion Arch expansion therapy combined with tonsillectomy/adenoidectomy can improve the main indicators of children's breathing and polysomnography(PSG),shorten the surgical effect,improve the efficiency of the treatment,and improve the upper airway structure of children with OSAHS.

关 键 词：扩弓疗法 扁桃体/腺样体 儿童阻塞性睡眠呼吸暂停低通气综合征 上气道结构 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]