儿童腺样体肥大引发睡眠呼吸暂停综合征临床症状分析

Clinical symptoms of obstructive sleep apnea syndrome in children caused by adenoidal hypertrophy

目的探讨儿童腺样体肥大引发睡眠呼吸暂停综合征(Obstructive Sleep Apnea Hypopnea Syndrome,OSAHS)的临床症状。方法对门诊44例腺样体肥大儿童进行问卷调查、纤维鼻咽镜检查及多导睡眠监测(polysomnography,PSG),以PSG监测结果作为诊断OSAHS的标准,对腺样体肥大引发OSAHS患儿的临床症状进行分析。结果44例患儿中有16例诊断为OSAHS,其主要症状按出现比例依次为睡眠打鼾(100%)、呼吸暂停(87.5%)、张口呼吸(81.2%)、睡眠不安(81.2%)、鼻塞(50%)等。结论通过对儿童腺样体肥大引发OSAHS的临床症状分析,有助于对此类患儿从症状上做出早期诊断。

Objective To discuss the clinical symptoms of obstructive sleep apnea hypopnea syndrome （OSAHS） in children caused by adenoidal hypertrophy. Methods The questionnaires, fibrous endoscopic examination and sleep breathing studies were performed in 44 children with adenoidal hypertrophy. Results Polysomnography（PSG） was gived to 16 cases who was proved with OSAHS. By the analysis of questionnaires, the main clinical manifestations of the children with OSAHS is snoring（ 100% ） sleep apnea（87.5% ） ~mouth breathing（ 81.2% ） disturbed nocturnal sleep（ 81.2% ）and nasal congestion（ 50% ）. Conclusion Childrer＇s OSAHS caused by adenoidal hypertrophy could be detected by analyzing the related clinical symptoms.