手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征的临床效果

Surgical treatment of apnea hypopnea syndrome in children with obstructive sleep

目的探讨手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrom,OSAHS)的临床效果。方法选取2015年1月至2018年12月于湖北科技学院附属第一医院/咸宁市中心医院接受治疗的OSAHS 80例患儿为研究对象,所有患儿均行外科手术切除扁桃体和腺样体,统计患儿术前、术后6个月多导睡眠监测(polysomnography,PSG)结果、相关症状改善情况及并发症发生情况。结果患儿术后6个月PSG各项指标均显著优于手术前[呼吸暂停低通气指数:(6.34±1.46)次/h、(19.65±3.12)次/h;阻塞性呼吸暂停指数:(2.12±1.34)次/h、(13.21±2.56)次/h;最低动脉血氧饱和度:92.34%±8.23%、83.45%±8.12%],差异有显著性(P<0.05);患儿术后6个月各项症状较手术前大幅度减轻,差异有显著性(P<0.05)。术后发生出血2例、感染3例、鼻炎4例,并发症发生率为11.3%。结论手术治疗儿童OSAHS疗效好,并发症少。

Objective To investigate the clinical effects of surgical treatment of obstructive sleep apnea hypopnea syndrome(OSAHS)in children.Method Eighty children with obstructive sleep apnea hypopnea syndrome who were treated in our hospital from January 2015 to December 2018 were randomly selected.Surgical removal of tonsils and adenoids was performed,and the results of polysomnography monitoring,improvement of related symptoms and complications were counted before and 6 months after surgery.Result After returning,the PSG indexes[AHI:(6.34±1.46)/h;OAI:(2.12±1.34)/h;LSaO2:(92.34%±8.23%)]were significantly better than those before surgery[(19.65±3.12)/h;(13.21±2.56)/h;(83.45%±8.12%)];the symptoms of the patients at 6 months after operation were significantly reduced compared with those before operation,and the results were significantly different(P<0.05),and were statistically significant.Only a small number of children in this group had mild adverse reactions after operation,including 2 cases of postoperative bleeding,3 cases of infection,and 4 cases of rhinitis,with a total incidence of 11.3%.Conclusion Surgical treatment of apnea hypopnea syndrome in obstructive sleep in children is effective and has few complications.It is a safe and effective treatment.