山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (4): 17-20.doi: 10.6040/j.issn.1673-3770.0.2013.061

• 睡眠呼吸障碍性疾病 • 上一篇    下一篇

阻塞性睡眠呼吸暂停低通气综合征患儿扁桃体腺样体切除术临床疗效分析

罗惠秀,范春涛,邓延华   

  1. 胶州中心医院耳鼻咽喉科, 山东  青岛 266603
  • 收稿日期:2013-03-05 发布日期:2013-08-16
  • 作者简介:罗惠秀,硕士研究生,主治医师。Email:luohuixiu521@163.com

Therapeutic effects of adenoidectomy and tonsillectomy in children with obstructive sleep apnea hypopnea syndrome

LUO Hui-xiu, FAN Chun-tao, DENG Yan-hua   

  1. Department of Otorhinolaryngology, Central Hospital of Jiaozhou, Qingdao 266603, Shandong, China
  • Received:2013-03-05 Published:2013-08-16

摘要:

目的    评价扁桃体腺样体切除术对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患儿的临床疗效。方法   行扁桃体及腺样体切除术患儿80例,术前、术后3个月或6个月行多道睡眠描记术(PSG)监测及OSA-18量表生活质量调查,分析手术疗效、PSG参数及OSA-18评分的变化。结果    80例患儿治愈70例(87%),显效8例(10%),有效2例(3%),总有效率为100%。显效及有效的10例中8例合并变应性鼻炎经治疗变应性鼻炎后症状明显改善,另2例肥胖者经控制体质量后症状减轻。术后呼吸暂停低通气指数(AHI)、最低血氧饱和度(LSaO2)、OSA-18总分与术前比较差异有统计学意义(P<0.05)。结论   扁桃体、腺样体切除术是治疗儿童OSAHS的有效方法,同时应治疗合并的其他上呼吸道阻塞因素。PSG结合OSA-18调查表可对患儿进行手术前后主客观的综合评价。

关键词: 扁桃体切除术, 生活质量, 多道睡眠监测, 阻塞性睡眠呼吸暂停低通气综合征, 腺样体切除术, 儿童

Abstract:

Objective    To investigate the clinical effectiveness of adenoidectomy and tonsillectomy in children with obstructive sleep apnea hypopnea syndrome(OSAHS). Methods    Clinical data of eighty children undergoing adenoidectomy and tonsillectomy were reviewed, including polysomnography(PSG) and OSA-18 scale three months preoperative and six months post-operative. Effects of operation, changes of PSG parameters and OSA-18 scores were analyzed. Results    Among eighty cases, there were seventy cured(87%), 8 markedly effective(10%), and 2 improved(3%). The total effective rate was 100%. In the latter ten cases, symptoms of allergic rhinitis  were significantly improved in eight cases, and obesity-associated symptoms were relieved in the other two cases. The clinical parameters, such as apnea hypopnea index(AHI), lowest oxygen saturation (LsaO2) and OSA-18 score, were significantly improved after the operation(P<0.05). Conclusion   Tonsillectomy and (or) adenoidectomy are effective procedures to treat OSAHS in children. PSG and OSA-18 scale are comprehensive tools to evaluate the clinical results.

Key words: Children, Adenoidectomy, Polysomnography, Tonsillectomy, Obstructive sleep apnea hypopnea syndrome, Quality of life

中图分类号: 

  • R766.7
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