无创通气治疗儿童睡眠呼吸暂停低通气综合征的护理

Nursing of non-invasive ventilation in sleep apnea hypopnea syndrome (SAHS) for children

目的儿童睡眠呼吸暂停低通气综合征(sleepapneahypopneasyndrome,SAHS)在病因、诊断、临床表现、治疗方面与成人有很大差异,通过对SHAS患儿无创通气治疗的总结,为儿童治疗摸索一些经验。方法比较31例病人应用CPAP、BiPAP进行无创通气治疗患儿治疗前后睡眠障碍指数的变化。结果本组患儿均取得较好疗效,其中13例患儿出院后坚持无创通气治疗。结论大多数SAHS患儿手术切除扁桃体及/或腺样体效果良好,但仍有部分患儿需进一步无创机械通气治疗。

Objective Sleep apnea hypopnea syndrome (SAHS) in children is different from that in adult in its distinct children presentation, diagnostic criteria and treatment, we want more experience to terat SAHS children ,bu summarizing non-invasive vetilation. Methods Analysis the overnight polysomnography results of 31 SAHS children associated with adenotonsillar hypertrophy. Compare the differences of major sleep index between before and after use CPAP or BiPAP. Results 31 patients have good effect treated by CPAP or BIPAP,13 patients still used it when they back home. Conclusion Most of patients may benefit from removal of the tonsils and enlargement of the adenoids. Some children still require non-invasive ventilation in the home environment.