便携式睡眠监测仪对新生儿重度喉软化声门上成形术疗效评估研究  

Evaluation of a portable sleep monitor for the postoperative efficacy of supraglottoplasty in neonates with severe laryngomalacia

作　　者：林家惠 夏忠芳[1] LIN Jiahui;XIA Zhongfang(Department of Otolaryngology,Wuhan Children's Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430016,China)

机构地区：[1]华中科技大学同济医学院附属武汉儿童医院耳鼻咽喉科,武汉430016

出　　处：《临床耳鼻咽喉头颈外科杂志》2024年第11期1066-1070,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：武汉市卫生计生委科研计划资助项目(No:WX21D77)。

摘　　要：目的:探讨便携式睡眠监测仪(portable monitor divice,PMD)是否可以用于评估新生儿重度喉软化(laryngomalacia,LM)行声门上成形术(supraglottoplasty,SGP)的疗效。方法:回顾性分析2020年1月至2023年11月院诊治的11例重度LM新生儿,均行全麻下SGP,并在术前术后行床旁PMD监测,比较术前术后的睡眠监测指标的变化,应用SPSS 18.0统计学软件,采用Wilcoxon符号轶和检验,P<0.05为差异有统计学意义。结果:11例患儿术后1周,阻塞性睡眠呼吸暂停低通气指数(OAHI)、阻塞性呼吸暂停指数(OAI)、氧减指数(ODI)均低于术前,最低血氧饱和度(SpO_(2))高于术前,差异有统计学意义(P<0.05),睡眠呼吸暂停低通气指数(AHI)和术前比较差异无统计学意义;术后1个月,AHI、OAHI、OAI、ODI均低于术前,最低SpO_(2)、平均SpO_(2)均高于术前,差异有统计学意义(P<0.05)。结论:PMD检查的部分参数可用于评估新生儿重度LM的SGP的疗效,是新生儿LM病情评估的重要辅助手段。Objective:To explore whether a portable monitor device(PMD) can be used to evaluate the efficacy of supraglottoplasty(SGP) in neonates with severe laryngomalacia(LM).Methods:A retrospective analysis of 11 neonates diagnosed as severe LM treated in our hospital from January 2020 to November 2023 was performed.All neonates underwent SGP under general anesthesia and overnight PMD monitoring before and after surgery.The changes of sleep monitoring parameters before and after surgery were compared,SPSS 18.0 statistical software was applied and Wilcoxon symbolic-rank l test was used.P<0.05 showed statistical difference.Results:One week after surgery,the obstructive apnea-hypopnea index(OAHI),obstructive apnea index(OAI),oxygen desaturationindex(ODI) of 11 children were lower than those before operation,and the minimum pulse oximetry saturation(SpO_2) was higher than that before operation,P<0.05,the difference was statistically significant,and there was no significant difference in sleep apnea hypopnea index(AHI) compared with that before operation.One month after surgery,AHI,OAHI,OAI and ODI were lower than those before operation,and the minimum SpO_(2) and mean SpO_(2) were higher than those before operation,P<0.05,the difference was statistically significant.Conclusion:Some parameters of PMD examination can be used to evaluate the efficacy of SGP in neonatal severe LM,which is an important auxiliary means for the evaluation of neonatal LM.

关 键 词：喉软化症 新生儿 声门上成形术 便携式睡眠监测 

分 类 号：R767.3[医药卫生—耳鼻咽喉科]