腺样体肥大或合并扁桃体肥大儿童睡眠结构分析及护理指导

Sleep architecture changes in children with adenoidal hypertrophy OR/AND tonsill itis

目的研究腺样体增生或合并扁桃体肥大对儿童睡眠结构的影响,以便有针对性地进行睡眠护理指导。方法通过多导睡眠图分析48例患儿睡眠结构,并与正常儿童睡眠结构进行比较。结果存在如下异常:S期、Delta期、NREM期所占比例增加,S2期、REM期所占比例减少;总醒觉时间,NREM醒觉次数明显高于REM醒觉次数,REM潜伏期延长,睡眠效率低予正常值。结论腺样体肥大或扁桃体肥大主要引起睡眠结构紊乱、醒觉次数增加、REM睡眠剥夺,睡眠片段化、睡眠效率低,针对睡眠和围手术期的护理干预,更有助于改善该病患儿的睡眠质量。

Objective Adenoidal hypertrophy in children is associated with obstructive manifestations like mouth breathing, snoring, night cough. Howeve r, the sleep architecture is poorly defined in children with adenoidal hypertrophy ,which is this studies for. Method A computer-assistant diagnosis system was used for polysonmography （PSG） recording. Sleep was scored manually according to the standard set by Rechtschaffen.48 children with adenotonsillar hypertrophy（A H） were defined by PSG and compared with normal children PSG results. Result Compared with normal children, AH group had increased stage Ⅰ and decreased stage Ⅱ; obviously decreased in REM;NREM was increasingly. The latent period of REM w as longer than normal children. Conclusion Sleep architecture is abnormal in children with AH. Frequent electroencephalogram arousals from sleep may result in significant sleep fragmentation, but the deep sleep is sufficient. Further studie s are needed to determine whether abnormalities in sleep architecture contribute to quality of life.