儿童阻塞性睡眠呼吸暂停低通气综合征的临床分析

目的分析儿童阻塞性睡眠呼吸暂停低通气综合征的原因、诊断及治疗。方法手术摘除肥大的扁桃体和腺样体，术后疗效欠佳者予CPAP治疗。结果儿童阻塞性睡眠呼吸暂停低通气综合征最常见的原因是扁桃体肥大和腺样体肥大。术后90％患儿临床症状明显改善。结论扁桃体肥大和腺样体肥大是导致儿童阻塞性睡眠呼吸暂停低通气综合征的主要原因，手术是治疗儿童阻塞性睡眠呼吸障碍的有效方法，多导睡眠监测是诊断儿童睡眠呼吸障碍的金标准。

Objective To explore the clinical features and diagnosis and the treatment of the pediatric obstructive sleep - disorder breathing. Methods The improvement of OSRD in 390 children undergoing tonsillectomy and curettement of adenoid was observed based on symptom scoring. Results OSRD children had tonsil and/or adenoid hypertrophy. The OSDR symptom scores in the 90% children with simple tonsil hypertrophy and with both tonsil and adenoid hypertrophy were improved. Conclusion Tonsil and adenoid hypertrophy is the main cause of children OSRD. Tonsillectomy and curettement of adenoid are effect way to treat children OSRD. PSG could serve as the mast effective method for diagnosis of children with OSAHS.