JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY)

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Effect of adenoidectomy on sleep architectures in children with adenoidal hypertrophy

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

  1. 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

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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

CLC Number: 

  • R766.7
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