腺样体扁桃体与儿童阻塞性睡眠呼吸暂停低通气综合征的相关性探讨

The association of adenoid and tonsil with obstructive sleep apnea hypopnea syndrome in children

目的:探讨儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)病因中腺样体、扁桃体的作用。方法:对94例经多导睡眠检测确诊的OSAHS儿童患者进行扁桃体大小及腺样体大小的评价,并进行统计学处理和分析。结果:单纯腺样体肥大29例(30.85%),单纯扁桃体肥大8例(8.51%),两者均大52例(55.32%),两者均不大5例(5.32%)。单纯扁桃体肥大与单纯腺样体肥大、腺样体合并扁桃体肥大的AHI、最低SaO2比较有显著性差异(P<0.05);单纯腺样体肥大与腺样体合并扁桃体肥大比较差异无显著性意义(P>0.05)。AHI轻、中、重度各组间扁桃体各级分布较均匀,差异无显著性意义,腺样体各级分布差异有显著性意义。腺样体大小与AHI相关系数r=0.522,扁桃体大小与AHI相关系数r=0.125。结论:在引起OSAHS的阻塞性原因中,腺样体肥大与OSAHS之间有相关性,扁桃体作用不明显,两者同时存在可产生相加效应。

Objective：To explore the role of the adenoid and tonsil in children with sleep apnea hypopnea syndrome（OSAHS）.Methods：94 children with OSAHS were diagnosed by polysomnography（PSG） and the tonsil and adenoid size were evaluated.The data were analysed statistically.Results：29 cases（30.85%） had adenoid hypertrophy,and 8 cases（8.51%） had tonsil hypertrophy, 52 cases（55.32%） had both adenoid and tonsil hypertrophy,5 cases（5.32%） had neither adenoid hypertrophy nor tonsil hypertrophy.The differences among only tonsil hypertrophy patients,only adenoid hypertrophy and both adenoid and tonsil hypertrophy on AHI, LSaO2 were significant（P 〈 0.05）.The difference between only adenoid hypertrophy patients and both adenoid and tonsil hypertrophy patients was not significant（P 〉 0.05）.The differences on AHI in different level groups of tonsil grade were not significant.The differences on AHI in different level groups of adenoid grade were significant.The R value of correction between the adenoid and AHI was 0.522.The R value of correction between the tonsil and AHI was 0.125.Conclusion：The adenoid hypertrophy has a positive relationship with OSAHS,but the tonsil hypertrophy is not relative with OSAHS.Synchronous hypertrophy of adenoid and tonsil can increase the incidence of OSAHS.