摘要
目的 探讨儿童阻塞性睡眠呼吸暂停综合征 (OSAS)的治疗方法。方法 对 6 0例OSAS患儿进行多导睡眠图 (PSG)监测 ,均行扁桃体摘除和 (或 )增殖体刮除术 ,术后 3个月对其中 4 0例患儿进行治疗效果评价。结果 经手术治疗后 ,患儿最长呼吸暂停时间由 (6 5 2± 5 1 2 )s降至 (16 4± 8 2 )s ,呼吸紊乱指数由 9 6± 9 0降至 1 2± 2 6 ,最低氧饱和度由 (74 4± 15 2 ) %提高到 (89 3± 8 1) % ,P值均 <0 0 1,临床症状明显改善。结论 扁桃体和 (或 )增殖体肥大是引起儿童OSAS最主要的病因 ,而扁桃体摘除和 (或 )
Objective\ To explore the surery treatment of obstructive sleep apnea syndrome(OSAS) in children.Methods\ On polysomnography(PSG)monitoring,tonsillectomy and/or adenoideatomy were/was performed in 60 children with OSAS,and the outcomes of which were evaluated in 40 patients 3 months after the surgery.Results\ Following the treatment,the longest apnea duration of the patients was shortened from 65 2±51 2 to 16 4±8 2,apnea hypoxia index(AHI)decreased from 9 6±9 0 to 1 2±2 6,SaO 2 increased from 74 4±15 2 to 89 3±8 1,P<0 01 and the clinical symptoms improved obviously.Conclusions\ Adenotonsillan hypertrophy is thought to be one of the most important cause of OSAS in children.Tonsillectomy and adenoideatomy are effective in treating OSAS of children.
出处
《中国实用儿科杂志》
CSCD
北大核心
2002年第5期280-281,共2页
Chinese Journal of Practical Pediatrics