儿童阻塞性睡眠呼吸暂停低通气综合征手术疗效评价

Evaluation of Therapeutice Effect of Surgery Way in the Child Obstructive Sleep Apnea Low Ventilation Syndrome

目的探讨手术方式解除鼻、咽部阻塞引发的儿童阻塞性睡眠呼吸暂停低通气综合征的疗效,术前、术后PSG测定。方法 78例腺样体肥厚、腭扁桃体肥大及鼻道阻塞儿童进行手术前全夜PSG检测,术后6个月～1年全夜复查PSG并对呼吸紊乱相关指标及临床症状改善情况进行综合分析。结果术前、术后呼吸紊乱指数(AHI)、最低血氧饱和度(LSaO2)、TS90%差异有显著统计学意义(P<0.05)。结论 PSG能反映呼吸事件、鼻咽部轴位及矢状位CT扫描及术中鼻内镜反映鼻咽部阻塞情况、腺样体增生情况。手术能较好解除鼻腔及鼻咽部阻塞。

Objective To approach the therapeutice effect of surgery way in the child obstructive sleep apnea low ventilation syndrome,by determining polysomnogram （PSG） before and after sugery. Methods Seventy-eight children of adenoid plump,faucial tonsil hypertrophy and nasal passage blockage were detected PSG through the night before sugery,rechecked PSG through the night six months to one year after sugery,then analyzed correlated index of breath disorder and improve condition of clinical symptom. Results The differences in apnea hyponea index （AHl）,lowest saturation of blood oxygen （LSaO2）and TS90% before and after sugery have notablely statistical significance （P〈0.05）. Conclusion PSG can reflect the breath event.The nasopharyngeal axis position,the arrowy positont CT scanning and the technique of endoscope in the nose can reflect nasopharynx blocking situation and the adenoid body proliferation situation.The surgery can relieve effectively nasal cavity and nasopharynx department blocking.