阻塞性睡眠呼吸暂停综合征患儿术毕通气障碍的危险因素

Risk factors for dyspnea after surgery in children with obstructive sleep apnea syndrone

目的筛选儿童阻塞性睡眠呼吸暂停综合征（OSAS）术毕通气障碍的危险因素。方法选择6～12岁OSAS行扁桃体腺样体切除术患JL80例，对其年龄、性别、体重指数（BMI）、ASA分级、术前上呼吸道感染（〈2周）进行回顾性分析。结果15例发生通气障碍患儿中，7例存在术前上呼吸道感染（46．7％），6例BMI≥25kg／m^2；无上呼吸道感染而发生通气障碍的患儿显著少于感染（〈2周）者（P〈0．05）；BMI≥25kg／m^2患儿发生通气障碍显著多于BMI〈25kg／m^2的患儿（P〈0．05）。

Objective To determine the risk factors for dyspnea after surgery in children with obstructive sleep apnea syndrome （ OSAS ）. Methods Eighty children aged 6-12 years who had undergone adenotonsillectomy due to OSAS were included in this study. Age, gender, body mass index （ BM1 ）, ASA classification, and upper respiratory infection （ URI ） were retrospectively analyzed, Results Of fifteen children with dyspnea, seven （ 46.7% ） had URI before surgery, six had BMI of =25 kg/m^2. The incidence of dyspnea was significantly lower in children without URI than in those with URI 〈 2w （ P〈 0.05 ）; and it was significantly higher in those with BMI=25 kg/m^-2 than in those with BMI 〈 25 kg/m^2. Conclusions Upper respiratory infection before surgery and obesity are the main risk factors for dyspnea after surgery in children with obstnxctive sleep apnea syndrome.