腺样体扁桃体切除术对儿童睡眠结构和生活质量的影响

Adenoid Body to Children Sleep Tonsils resection Structure and the Influence on the Quality of Life

目的探讨腺样体扁桃体切除术对儿童睡眠结构和生活质量的影响。方法回顾性分析我院2008年3月至2012年3月收治入院的阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患儿行腺样体扁桃体切除术100例,对100例OSAHS患儿术前及术后1个月行多导睡眠监测(PSG)和生活质量调查(OSA-18),分析手术治疗前后宏观和微观睡眠结构的变化。结果本组100例患者手术前后最低SaO2情况和觉醒指数(AI)变化比较差异具有显著性意义(P均<0.01);100例患儿手术前后睡眠障碍、身体症状、对监护人的影响以及OSA-18总分等均较手术前明显提高,且差异有显著性意义(P均<0.01)。结论腺样体扁桃体切除术能明显改善OSAHS患儿的睡眠结构和生活质量。

Objective To study the glandular body to children sleep tonsils resection structure and the influence on the quality of life. Methods Retrospective analysis in March 2008-March 2012 hospital were obstructive sleep apnea hypopnea syndrome （OSAHS） children do adenoid body tonsil resection in 100 cases, 100 cases of children OSAHS before and after a month do polysomnography monitoring （PSG） and life quality survey （OSA-18） , analyzes the surgical treatment before and after the macroscopic and microscopic structure change of sleep. Results All 100 patients before and after surgery minimum SaO2 situation and the awakening index （AI） change is meaning with significant difference （P〈0.01） ; 100 cases before and after surgery sleep disorders, physical symptoms, the influence of the guardian of OSA-18 total score, and before the operation which is obviously improved, and significant difference （P 〈 0.01 ） . Conclusion Adenoid body tonsil resection can significantly improve OSAHS of children＇s sleep structure and quality of life.