30例儿童阻塞性睡眠呼吸暂停低通气综合征的临床观察被引量：1

下载PDF

导出

摘要目的探讨儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)诊治的方法和效果。方法通过临床症状、多导睡眠监测(PSG)诊断OSAHS 30例,全麻下行经口鼻内镜下腺样体切除术和(或)扁桃体切除术治疗。结果患儿术后随访,临床症状明显缓解,术后6个月内复查PSG表明呼吸暂停指数(AI)、呼吸暂停低通气指数(AHI)、最低血氧饱和度等较术前改善,差异有统计学意义(P<0.01)。结论腺样体和扁桃体肥大是儿童阻塞性睡眠呼吸暂停低通气综合征的最常见原因,诊断主要依靠PSG。腺样体和扁桃体切除手术是主要的治疗手段,并能取得良好疗效。

作者黄郁林梁健刚

机构地区广东省广州市番禺区人民医院耳鼻咽喉科

出处《重庆医学》 CAS CSCD 北大核心 2009年第18期2345-2347,共3页 Chongqing medicine

关键词阻塞性睡眠呼吸暂停儿童腺样体切除术扁桃体切除术多导睡眠监测

分类号 R766 [医药卫生—耳鼻咽喉科]

引文网络
相关文献

参考文献5

1Castronovo V,Zucconi M,Nosetti L,et a1.Prevalence of habitual snoring and sleep-disordered breathing in preschool-aged children in an Italian community[J].J Pediatrics,2003,142(4):377.
2Franco RA Jr,Rosenfeld RM,Rao M.First place-resident clinical science award 1999.Quality of life for chidren with obstructive sleep apnea[J].Otolaryngol Head Neck Surg,2000,123(1):9.
3儿童阻塞性睡眠呼吸暂停低通气综合征诊疗指南草案(乌鲁木齐)[J].中华耳鼻咽喉头颈外科杂志,2007,42(2):83-84. 被引量：634
4Section on Pediatric Pulmonology,Subcommittee on Obstructive Sleep Apnea Syndrome.American Academy of Pediatrics.Clinical practice guideline:diagnosis and management of childhood obstructive sleep apnea syndrome[J].Pediatrics,2002,109:704.
5张亚梅.儿童阻塞性睡眠呼吸暂停低通气综合征的治疗[J].中华医学杂志,2005,85(44):3103-3104. 被引量：6

二级参考文献15

1Amin RS, Kimball TR, Bean JA, et al. Left ventricular hypertrophy and abnormal ventricular geometry in children and adolescents with obstructive sleep apnea. Am J Respir Cirt Care Med, 2002, 165: 1395-1399.
2Goldstein NA, Post C, Rosenfeld RM, et al. Impact of tonsillectomy and adenoidectomy on child behavior, Arch. Otolaryngol Head Neck Surg,126:494-498.
3Harrington C, Kirjavainen T, Teng A, et al. Altered autonomic function and reduced arousability in apparent life-threatening event infants with obstructive sleep apnea. Am J Respir Crit Care Med,2002,165:1048-1054.
4Lipton AJ, Gozal D. Treatment of obstructive sleep apnea in children: do we really know how? Sleep Med Rev, 2003,7:61-80.
5Guilleminault C, Korobkin R, Winkle R. A review of 50 children with obstructive sleep apnea syndrome. Lung, 1981, 159:275-287.
6Marcus CL, Sally L. Use of nasal continuous positive airway pressure as treatment of childhood obstructive sleep apnea. J Pediatr, 1995, 127: 88-94.
7Massa F, Gonsalez S, Laverty A, et al. The use of nasal continuous positive airway pressure to treat obstructive sleep apnea. Arch Dis Child, 2002, 87: 438-443.
8Downey R, Perkin RM, Macquarrie J. Nasal continuous positive airway pressure use in children with obstructive sleep apnea younger than 2 years of age. Chest, 2000, 117:1608-1612.
9Section on Pediatric Pulmonology,Subcommittee on Obstructive leep Apnea Syndrome.American Academy of Pediatrics.Clinical practice guideline:diagnosis and management of childhood obstructive sleep apnea syndrome.Pediatrics,2002,109:704-712.
10Schechter MS,Section on Pediatric Pulmonology,Subcommittee on Obstructive Sleep Apnea Syndrome.Technical report:diagnosis and management of childhood obstructive sleep apnea syndrome.Pediatrics,2002,109:e69.