阻塞性睡眠呼吸暂停低通气综合征对学龄前期儿童体格发育的影响及手术干预效果

山东大学耳鼻喉眼学报

阻塞性睡眠呼吸暂停低通气综合征对学龄前期儿童体格发育的影响及手术干预效果

孙炎¹，李娜¹，田英¹，衣明纪²，姚燕婷³

青岛大学医学院附属医院 1. 耳鼻咽喉-头颈外科； 2. 儿童保健科；3. 手术室，山东青岛 266001

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-04-24 发布日期:2008-04-24
通讯作者: 孙炎

Influence of obstructive sleep apnea hypopnea syndrome on physical growth characters of preschool children and the effect of the operations

SUN Yan¹， LI Na¹，TIAN Ying¹，YI Ming-ji²， YAO Yan-ting³

1. Department of Otolaryngology & Head and Neck Surgery; 2. Department of Children′s Health; 3. Department of Operation Room,Affiliated Hospital of Medical College of Qingdao University, Qingdao 266001, Shandong, China

Received:1900-01-01 Revised:1900-01-01 Online:2008-04-24 Published:2008-04-24
Contact: SUN Yan

摘要/Abstract

摘要： 目的探讨阻塞性睡眠呼吸暂停低通气综合征对学龄前期儿童体格发育的影响及手术干预效果。方法对经PSG监测确诊的49例OSAHS 患儿，记录其术前和术后6个月的体格生长指标测量结果，并与同年龄组的正常儿童作对照。结果术前：中、重度OSAHS组患儿体格发育指标均低于对照组儿童，轻度OSAHS组患儿仅身高和坐高低于对照组儿童；术后6个月：轻、中度OSAHS组患儿体格发育指标与对照组差异无统计学意义，重度OSAHS组患儿仍有部分体格发育指标低于对照组。结论阻塞性睡眠呼吸暂停低通气综合征可以影响学龄前期儿童体格生长，手术干预效果佳，需及早进行。

关键词: 睡眠呼吸暂停, 阻塞性, 体格生长, 儿童, 学龄前, 多导睡眠描记术

Abstract: To explore the influence of obstructive sleep apnea hypopnea syndrome(OSAHS) on physical growth characters in preschool children and the effect of the operations. Methods49 children with OSAHS proved by polysomnography(PSG)had their physical growth characters determined before and 6 months after the operations. 40 healthy children served as controls. Results① Before the operations, all physical growth characters of the moderate and severe OSAHS groups were significantly lower than those of the control group, however only the height and sitting height of the mild OSAHS group were lower than those of the control group. ② 6 months after the operations, physical growth characters of the mild and moderate OSAHS groups were not significantly lower than those of the control group, but some of the severe OSAHS group still were lower than those of the control group. ConclusionsOSAHS can effect physical growth and neuropsychological characters of preschool children and should be operated on early.

Key words: obstructive, Physical growth, Sleep apnea, Child, preschool, Polysomnography

中图分类号:

R766.7

孙炎,李娜,田英,衣明纪,姚燕婷 . 阻塞性睡眠呼吸暂停低通气综合征对学龄前期儿童体格发育的影响及手术干预效果[J]. 山东大学耳鼻喉眼学报, 2008, 22(2): 105-108 .

SUN Yan,LI Na,TIAN Ying,YI Ming-ji,YAO Yan-ting . Influence of obstructive sleep apnea hypopnea syndrome on physical growth characters of preschool children and the effect of the operations[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(2): 105-108 .

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