手术治疗腺样体肥大对儿童睡眠结构的影响

山东大学耳鼻喉眼学报

手术治疗腺样体肥大对儿童睡眠结构的影响

朱鹃芬，冯勇刚，顾晓峰，毕致

南京医科大学附属常州第二人民医院耳鼻咽喉科，江苏常州 213003

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-10-24 发布日期:2007-10-24
通讯作者: 朱鹃芬

Effect of adenoidectomy on sleep architectures in children with adenoidal hypertrophy

ZHU Juan-fen, FENG Yong-gang, GU Xiao-feng, BI Zhi

Department of Otorhinolaryngology, Changzhou Second People′s Hospital, Nanjing Medical University,Changzhou 213003, Jiangsu, China

Received:1900-01-01 Revised:1900-01-01 Online:2007-10-24 Published:2007-10-24
Contact: ZHU Juan-fen

摘要/Abstract

摘要： 目的观察腺样体肥大儿童在行腺样体切除术后睡眠结构的改变。方法对120例行腺样体肥大切除术的儿童，分别于术前及术后1个月行夜间睡眠多导监测，比较手术前后宏观、微观睡眠结构的变化。结果腺样体肥大儿童术后S1期和S2期所占比例与术前比较无统计学意义(P>0.05)；SWS期和REM期所占比例增加(P>0.05)。腺样体肥大儿童术后觉醒指数AI(2.8±0.3)较术前(6.3±0.4)明显减小(P<0.01)；术后最低SaO2（93.4±1.4）较术前(70.3±1.3) 明显提高(P<0.01)。结论腺样体肥大儿童术后宏观睡眠结构无明显改善，微观睡眠结构的改善可能是腺样体肥大儿童术后症状改善的病理生理学基础。

关键词: 腺样体肥大, 腺样体切除术, 睡眠结构, 儿童

Abstract: Objective To evaluate the changes of sleep architecture in children with adenoidal hypertrophy after adenoidectomy. Methods From January 2003 to October 2006, polysomnography (PSG) was performed on 120 children with adenoidal hypertrophy before and after adenoidectomy. Various polygraphic parameters describing the macrostructure of sleep and the microstructure of sleep were analyzed . Results The S1 and S2 stages were not significantly changed after adenoidectomy(P>0.05), and the SWS and REM stages increased in ratio (P>0.05). But the arousals index before adenoidectomy was higher than that after adenoidectomy (6.3±0. 4 vs 2.8±0.3，P<0.01) and the SaO2 before operations was lower than that after operations （70.3±1.3 vs 93.4±1.4） (P<0.01). 〖WTHZ〗Conclusions There are no significant differences in the macrostructure of sleep after adenoidectomy. Improvement of the microstructure of sleep in children with adenoidal hypertrophy is the physiopathological basis of clinical relief after adenoidectomy.

Key words: Adenoidal hypertrophy, Adenoidectomy, Sleep architecture, Child

中图分类号:

R766.7

朱鹃芬,冯勇刚,顾晓峰,毕致 . 手术治疗腺样体肥大对儿童睡眠结构的影响[J]. 山东大学耳鼻喉眼学报, 2007, 21(5): 415-416 .

ZHU Juan-fen,FENG Yong-gang,GU Xiao-feng,BI Zhi . Effect of adenoidectomy on sleep architectures in children with adenoidal hypertrophy[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2007, 21(5): 415-416 .

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