阻塞性睡眠呼吸暂停患儿低温等离子术后生活质量影响因素分析  

Factors influencing quality of life in children with obstructive sleep apnea after cryogenic plasma surgery

作　　者：朱敬[1] 顾兴华[1] 李亚波[1] 卢炳红[1] 陈燕[1] Zhu Jing;Gu Xinghua;Li Yabo;Lu Binghong;Chen Yan(Department of Otorhinolaryngology,Jingjiang People’s Hospital,Jingjiang 214500,China)

机构地区：[1]靖江市人民医院,江苏靖江214500

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第3期90-93,共4页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的探讨阻塞性睡眠呼吸暂停(OSAS)患儿低温等离子术后生活质量及其影响因素。方法选取2019年12月~2021年10月靖江市人民医院OSAS患儿188例,所有患儿均接受低温等离子术治疗,通过OSA-18量表评估手术前后患儿生活质量,统计所有患儿一般资料(性别、年龄、BMI)等,并采取整夜多导睡眠监测(PSG)评估患儿平均血氧饱和度(MSaO_(2))、最低血氧饱和度(LSaO_(2))、呼吸暂停低通气指数(AHI)。统计分析本组患儿手术前后生活质量,术后根据OSA-18评分将患儿分为生活质量良好、生活质量不良,比较两组一般资料、PSG检查情况,并统计分析OSAS术后生活质量不良的影响因素。结果术后本组患儿OSA-18中对监护人的影响、白天功能状态、情绪不佳、身体症状、睡眠障碍分值及总分低于术前(P<0.05);本组188例OSAS患儿术后生活质量良好者167例(OSA-18分值≥60分)、生活质量不良者21例(OSA-18分值<60分),两组性别、年龄相比无显著差异(P>0.05),生活质量良好者BMI、AHI低于生活质量不良者,MSaO_(2)、LSaO_(2)水平高于生活质量不良者(P<0.05);多元线性回归分析证实,BMI≥24 kg/m^(2)、AHI>5、MSaO_(2)<90%、LSaO_(2)<90%均是影响OSAS术后生活质量的重要危险因素(P<0.05)。结论低温等离子术可改善OSAS患儿生活质量,而BMI≥24 kg/m^(2)、AHI>5、MSaO_(2)<90%、LSaO_(2)<90%均是影响OSAS术后生活质量的重要危险因素,临床实际可根据患儿具体状况给予对应干预,从而改善患儿生活质量。Objective To investigate the quality of life of children with obstructive sleep apnea(OSAS)after cryogenic plasma surgery and its influencing factors.Methods A total of 188 children with OSAS were selected from Jingjiang People’s Hospital from December 2019 to October 2021.All the children received low-temperature plasma surgery.The quality of life of the children before and after surgery was evaluated by OSA-18 scale,and the general information(gender,age,BMI,etc.)of all the children were collected.Average blood oxygen saturation(MSaO_(2)),lowest blood oxygen saturation(LSaO_(2))and apnea hypopnea index(AHI)were assessed by overnight polysomnography(PSG).The quality of life of the children in this group before and after surgery was statistically analyzed.The children were divided into good quality of life and poor quality of life according to OSA-18 score after surgery.The general data and PSG examination of the two groups were compared,and the influencing factors of poor quality of life after OSAS were statistically analyzed.Results The score and total score of OSA-18 on guardian,daytime functional status,mood depression,physical symptoms,sleep disturbance were lower than those before operation(P<0.05).Among the 188 children with OSAS,167 had good postoperative quality of life(OSA-18 score≥60 points)and 21 had poor quality of life(OSA-18 score<60 points).There were no significant differences in gender and age between the two groups(P>0.05).BMI and AHI with good quality of life were lower than those with poor quality of life.MSaO_(2) and LSaO_(2) levels were higher than those of poor quality of life(P<0.05).Multiple linear regression analysis confirmed that BMI≥24 kg/m^(2),AHI>5,MSaO_(2)<90%,LSaO_(2)<90%were important risk factors affecting postoperative quality of life of OSAS(P<0.05).Conclusion Low-temperature plasma surgery can improve the quality of life of children with OSAS,and BMI≥24 kg/m^(2),AHI>5,MSaO_(2)<90%,LSaO_(2)<90%are all important risk factors affecting the quality of life after OSAS.In

关 键 词：阻塞性睡眠呼吸暂停 低温等离子术 生活质量 影响因素 

分 类 号：R76[医药卫生—耳鼻咽喉科]