儿童鼾症监测阳性率影响因素的研究

Study for the influence factor on monitoring the child snoring＇s positive rate.

目的探讨儿童鼾症监测阳性率的影响因素。方法对病史、体检可疑鼾症的200名患儿行鼾症初筛监测，其中100例（实验组）在患儿入睡前做好监测前的心理护理，鼻导管放置特定位置，胸腹带松紧合适的情况下进行监测，另100例（对照组）在患儿已入睡再戴监测线，事前未行心理护理，鼻导管未放置特定位置且胸腹带松紧适度不固定的情况下进行监测。再比较两组监测的数据HAI（睡眠呼吸暂停低通气指数）和最低SpO2（血氧饱和度）。结果实验组检测的成功率和阳性率高。结论儿童鼾症初筛监测时应在患儿睡前做好心理护理、鼻导管放置特定位置、胸腹带松紧适度的情况下进行检测．以提高检测数据的准确性。

Objective To discuss the influence factor on monitoring the childhood snoring＇s positive rate. Methods To filter the child snoring from 200 suspects of medical history or medical examination,take 100 of all as the experimental group and the rest as the control group. As for the experimentalgroup, do a proper care of mental nursing before the kids＇go to sleep, put the nasal catheter in the right place and on the condition of the proper tight for the belt of chest and abdomen when monitor the child snoring. But for the control group, monitor on the condition of not do any mental nursing, putting on the monitoring equipment after the kids＇ go to sleep, putting the nasal catheter in a random place and the belt of chest and abdomen was not fixxed. At last, compare the monitoring data and the least SpO2 of tow groups. Results Experimental group＇s success rate of monitoring was higher than the control group , and its positive rate was higher than the control group too. Conclusion It is better to do well in mental nursing before the kid＇s sleep, put nasal catheter in a special place and on the condition of the proper tight for the belt of chest and abdomen for improving the accuracy of the monitoring data when first monitor of the childhood snoring.