山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (3): 13-15.doi: 10.6040/j.issn.1673-3770.0.2014.419

• 睡眠呼吸障碍性疾病 • 上一篇    下一篇

OSA-18量表评估腺样体肥大儿童生活质量

龙朝庆1, 颜永毅2, 容庆丰1   

  1. 1. 中山市小榄人民医院耳鼻喉科, 广东 中山 528415;
    2. 广州市耳鼻咽喉头颈外科医院, 广东 广州 510620
  • 收稿日期:2014-12-25 修回日期:2015-04-07 发布日期:2015-06-16
  • 作者简介:龙朝庆。E-mail:longchaoqing@126.com

Assessment ofquality of life in children with adenoid hypertrophy by OSA-18 questionnaire

LONG Chaoqing1, YAN Yongyi2, RONG Qingfeng1   

  1. 1. Department of Otolaryngology, Xiaolan People's Hospital of Zhongshan, Zhongshan 528415, Guangdong, China;
    2. Guangzhou Hospital of Otorhinolaryngol Head and Neck Surgery, Guangzhou 510620, Guangdong, China
  • Received:2014-12-25 Revised:2015-04-07 Published:2015-06-16

摘要: 目的 采用儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)疾病特异性生活质量调查(OSA-18)量表, 评估腺样体肥大患儿生活质量, 以期了解OSA-18量表是否可作为临床评估腺样体肥大患儿生活质量状况的指标。方法 对符合入选标准的腺样体肥大患儿56例, 行电子鼻咽镜及多导睡眠监测(PSG)检查, 并采用OSA-18量表对其进行生活质量评估, 分析腺样体肥大病情程度与OSA-18评分的相关性。结果 80.36%的腺样体肥大患儿生活质量受到明显影响, OSA-18总体评分为"中度+重度"。OSA-18总体评分与呼吸暂停低通气指数(AHI)、最低血氧饱和度(LSaO2)及腺样体大小存在明显的相关关系。结论 腺样体肥大程度与OSA-18评分之间存在相关性, OSA-18量表评分可作为临床评估腺样体肥大患儿生活质量状况的指标。

关键词: 腺样体肥大, 多导睡眠监测, 生活质量, OSA-18量表

Abstract: Objective To investigate the value of OSA-18 questionnaire in assessment of quality of life in the children with adenoid hypertrophy. Methods Electronic nasopharyngoscopy and polysomnography (PSG) were underwent in 56 children with adenoid hypertrophy, and their quality of life were evaluated by OSA-18 questionnaire. The correlations between adenoid hypertrophy and OSA-18 scores were analyzed. Results The quality of life in 80.36% children with adenoid hypertrophy were significantly affected.Their OSA-18 total score were moderate and severe. There was significant correlation between OSA-18 total score and apneahypopneaindex(AHI), lowestoxygen saturation(LSaO2), and adenoid size. Conclusion There is an obvious correlation between adenoid size and OSA-18 score. OSA-18 questionnaire can be used asan indicatorin assessment of quality of life in the children with adenoid hypertrophy.

Key words: OSA-18 questionnaire, Adenoid hypertrophy, Quality of life, Polysomnography

中图分类号: 

  • R766.7
[1] 中华耳鼻咽喉头颈外科杂志编委会, 中华医学会耳鼻咽喉科学分会.儿童阻塞性睡眠呼吸暂停低通气综合征诊疗指南草案(乌鲁木齐)[J].中华耳鼻咽喉头颈外科杂志, 2007, 42(2):83-84. Chinese Journal of Otorhinolaryngology Head and Neck Editorial, Otorhinolaryngological Branch of Chinese Medical Association. Draft guidance clinics of children with obstructive sleep apnea hypopnea syndrome (Wulumuqi)[J]. Chin J Otorhinolaryngol Head Neck Surg, 2007, 42(2):83-84.
[2] Franco R A Jr, Rosenfeld R M, Rao M. First place-resident clinical science award 1999. Quality of life for children with obstructive sleep apnea[J]. Otolaryngol Head Neck Surg, 2000, 123(1):9-16.
[3] De Serres L M, Derkay C, Astley S, et al. Measuring quality of life in children with obstructive sleep disorders[J]. Arch Otolaryngol Head Neck Surg, 2000, 126(12):1423-1429.
[4] Cassano P, Gelardi M, Cassano M, et al. Adenoid tissue rhinopharyngeal obstruction grading based on fiberendoscopic findings: a novel approach to therapeuticmanagement[J]. Int J Pediatr Otorhinolaryngol, 2003, 67(12):1303-1309.
[5] Goldstein N A, Post J C, Rosenfeld R M, et al. Impact of tonsillectomy and edenoidectomy on child behavior[J]. Arch Otolaryngol Head Neck Surg, 2000, 126(4):494-498.
[6] 蔡谦, 苏振忠, 文卫平, 等.儿童阻塞性睡眠呼吸暂停低通气综合征扁桃体腺样体评价[J].中国耳鼻咽喉头颈外科, 2006, 13(7):437-440. CAI Qian, SU Zhenzhong, WEN Weiping, et al. Evaluation the adenoid and tonsil in children with obstructive sleep apnea hypopnea syndrome[J]. Chin Arch Otolaryngol Head Neck Surg, 2006, 13(7):437-440.
[7] Jain A, Sahni J K. Polysomnographic studies in children undergoing adenoidectomy and/or tonsillectomy[J]. J Laryngol Otol, 2002, 116(9):711-715.
[8] 蔡晓岚, 刘言训, 刘洪英, 等.儿童阻塞性睡眠呼吸暂停低通气综合征手术前后生活质量调查[J].中华耳鼻咽喉头颈外科杂志, 2005, 40(2):141-145. CAI Xiaolan, LIU Yanxun, LIU Hongying, et al. Quality of life survey in children with obstructive sleep apnea hypopnea syndrome before and after operation[J]. Chin J Otorhinolaryngol Head Neck Surg, 2005, 40(2):141-145.
[9] 肖宽林, 何培杰, 林岳鑫, 等.儿童睡眠呼吸暂停综合征外科治疗[J].中国耳鼻咽喉头颈外科, 2005, 12(10):615-618. XIAO Kuanlin, HE Peijie, LIN Yuexin, et al. Surgery treatment of children with sleep apneasyndrome[J]. Chin Arch Otolaryngol Head Neck Surg, 2005, 12(10):615-618.
[1] 王驰,刘星,孔磊,洪兴和,宁博. 鼻内镜下等离子射频消融术对合并鼻窦炎的小儿腺样体肥大患者疗效及鼻腔黏膜纤毛清除功能的影响[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 78-81.
[2] 周鼎坤,蔡郁,田艳华,滕博,冯青杰. Crouzon儿童腺样体切除术后并发Grisel综合征一例[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 119-120.
[3] 吴喜福, 孔维封, 王玮豪, 徐惠清, 戚敏, 杨钦泰. QoR-15在加速康复外科改善慢性鼻-鼻窦炎伴鼻息肉围手术期生活质量评估中的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 5-8.
[4] 王岩,师晓丽. 变态反应与儿童OSAHS的关系[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 14-18.
[5] 高进良,年婉清,李烁. 鼻内镜手术联合鼻用糖皮质激素治疗腺样体肥大性[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 38-42.
[6] 王钟颖,王珮华. 上颌骨Le Fort I型截骨手术后鼻腔通气质量调查[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 26-27.
[7] 谢日林,张志平. 布地奈德体位滴鼻治疗伴腺样体肥大的小儿分泌性中耳炎31例[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 65-67.
[8] 刘文君,于雪莹,吕丹,陈正岗,张艳青,梅栩彬,杨珂. 不同性别阻塞性睡眠呼吸暂停低通气综合征患者与上气道影像学相关性的研究[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 54-59.
[9] 刘洁,施陈燕,张治军. 糠酸莫米松鼻喷剂联合玉屏风颗粒可提高儿童腺样体肥大疗效[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 73-76.
[10] 陈婷婷,郭其云,刘佳琪,刘丽庭. 探讨同期放化疗对儿童青少年鼻咽癌患者生活质量的影响[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 55-58.
[11] 葛晓辉,王宁宇,占小俊,王春燕,王建亭,王辉,郝荣颖,马坤,刘萍,李丽. 手术对阻塞性睡眠呼吸暂停低通气综合征患者血脂代谢变化的临床观察[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 27-30.
[12] 杨洪玲. 青光眼患者生活质量评估及相关因素的研究进展[J]. 山东大学耳鼻喉眼学报, 2016, 30(6): 94-97.
[13] 章榕,王洪洪,余蕾蕾,刘亮,孙建军,李进让,展慕霞. 多导睡眠监测与便携式睡眠监测的临床应用比较[J]. 山东大学耳鼻喉眼学报, 2016, 30(5): 65-67.
[14] 周鹏,神平,刘稳,李培华,李红权. 药物诱导睡眠内镜检查结果与低氧血症相关性研究[J]. 山东大学耳鼻喉眼学报, 2016, 30(5): 54-57.
[15] 苏怡,谢景华,潘晓李,曾国庆. 慢性鼻-鼻窦炎伴或不伴鼻息肉患者鼻内镜手术的疗效及影响因素分析[J]. 山东大学耳鼻喉眼学报, 2016, 30(4): 86-89.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!