呼吸睡眠暂停综合征患儿病情程度影响因素分析及护理  

Analysis of influencing factors and nursing of children with apnea sleep apnea syndrome

作　　者：叶燕群 邵宇蓉 李锐锋 李郁明 王小洪 YE Yanqun;SHAO Yurong;LI Ruifeng;LI Yuming;WANG Xiaohong(Department of Otolaryngology Head and Neck Surgery,Shunde Hospital,Jinan University,Foshan 528305,Guangdong)

机构地区：[1]暨南大学附属顺德医院耳鼻咽喉头颈外科,广东佛山528305

出　　处：《新疆医学》2025年第2期235-239,共5页Xinjiang Medical Journal

摘　　要：目的分析影响呼吸睡眠暂停综合征患儿病情严重程度的相关因素及护理对策。方法回顾性分析我院在2020年1月至2023年1月期间收治的100例呼吸睡眠暂停综合征患儿临床资料,根据其病情严重程度分为轻度组、中度组、重度组,对其影响病情严重程度的相关因素进行单因素分析和多因素logistic回归分析,并且观察100例患儿护理干预前后的病情严重程度变化,根据影响因素总结相应的护理对策。结果在年龄、性别、睡眠时最低SpO_(2)、BMI、呼吸暂停的次数、最长低通气时间、呼吸暂停通气指数以及最长呼吸暂停时间方面,不同呼吸睡眠暂停综合征患儿病情严重程度存在明显差异,差异均有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,年龄小、睡眠时最低SpO_(2)低、BMI大、最长低通气时间长、呼吸暂停通气指数高是影响呼吸睡眠暂停综合征患儿病情严重程度的独立危险因素(OR>1,P<0.05)。100例患儿护理干预后病情轻度者较护理前显著增加,病情中度及重度者显著减少(P<0.05)。结论影响呼吸睡眠暂停综合征患儿病情严重程度的独立危险因子主要为年龄小、睡眠时最低SpO_(2)低、BMI大、最长低通气时间长、呼吸暂停通气指数高,护理干预对减轻患儿病情严重程度具有积极作用,针对相关影响因素,可以从加强生命体征监测、个体化饮食护理、加强睡眠护理及定期随访和监测等方面及时展开护理干预,以尽可能的减轻患儿病情严重程度,促进疾病康复。Objective To analyze the related factors affecting the severity of apnea syndrome and nursing countermeasures.Method Clinical data of 100 children with apnea syndrome admitted to our hospital from January 2020 to January 2023 were retrospectively analyzed,and they were divided into mild group,moderate group and severe group according to the severity of their disease.Univariate analysis and multivariate logistic regression analysis were performed on the relevant factors affecting the severity of their disease.The changes of the severity of the disease before and after nursing intervention in 100 cases were observed,and the corresponding nursing countermeasures were summarized according to the influencing factors.Result In terms of age,sex,minimum SpO2 during sleep,BMI,apnea frequency,longest hypopnea time,apnea ventilation index and longest apnea time,there were significant differences in the severity of apnea syndrome among different children,and the differences were statistically significant(P<0.05).Multivariate Logistic regression analysis showed that young age,low minimum SpO_2during sleep,large BMI,long longest hypopnea duration and high apnea ventilation index were independent risk factors for the severity of apnea syndrome(OR>1,P<0.05).After nursing intervention,the patients with mild disease increased significantly,while the patients with moderate and severe disease decreased significantly(P<0.05).Conclusion The independent risk factors affecting the severity of apnea syndrome in children are mainly young age,low minimum SpO2 during sleep,large BMI,long longest hypopnea duration,and high apnea ventilation index.Nursing intervention has a positive effect on reducing the severity of the disease in children.Nursing intervention can be carried out in time from the aspects of strengthening vital signs monitoring,individualized diet nursing,strengthening sleep nursing and regular follow-up and monitoring,so as to reduce the severity of the disease and promote the recovery of the disease as much as possible.

关 键 词：呼吸睡眠暂停综合征 病情严重程度 影响因素 护理 

分 类 号：R[医药卫生]