腺样体、扁桃体切除术对睡眠呼吸障碍儿童行为异常的治疗意义

Effect of adenotonsillectomy on the behavior disorders in sleep-disordered breathing children

目的探讨腺样体、扁桃体切除术对睡眠呼吸障碍儿童行为异常的治疗作用。方法采用32导多导睡眠仪及Polysmith睡眠分析软件对65例睡眠打鼾儿童进行整夜睡眠监测,根据诊断标准将其分为阻塞性睡眠呼吸暂停低通气综合征(OSAHS)组、单纯打鼾组和健康对照组。应用Conners简明症状问卷评定儿童行为问题,比较36例OSAHS组与29例单纯打鼾组行手术治疗前后异常行为的改善情况。结果OSAHS组及单纯打鼾组存在行为问题的比率高于健康对照组,但差异无统计学意义(P>0.05)。行腺样体、扁桃体手术前后Conners行为简明症状问卷得分OSAHS组由14.2±3.8下降到6.7±3.1(P<0.05);单纯打鼾组由9.4±4.1下降到5.1±2.8(P<0.05);OSAHS组存在行为异常者术前19例(52.3%)术后6例(16.7%),χ2=4.347 8,P<0.05;单纯打鼾组存在行为异常者术前14例(48.3%)术后4例(13.8%),χ2=5.263 2,P<0.05。结论OSAHS及单纯打鼾组儿童有较多的行为问题出现。腺样体、扁桃体切除术对睡眠呼吸障碍儿童行为异常有明显的治疗作用。

Objective To explore the effect of adenotonsillectomy on behavior disorders in sleep-disordered breathing children.Methods 65 children were monitored all night by polysomnography,and their behaviors were assessed by Conners concise symptom questionnaires.Results The ratio of behavior disorder in OSAHS and primary snoring children was higher than that in healthy children,but there was no statistical different between the OSAHS group and the primary snoring group.After adenotonsillectomy the score in Conners ...