家庭睡眠监测仪在小儿阻塞性睡眠呼吸暂停低通气综合征中的应用效果

Application effect of home-sleep monitor in children with obstructive sleep apnea-hypopnea syndrome

目的研究家庭睡眠监测仪运用于小儿阻塞性睡眠呼吸暂停低通气综合征中的价值。方法选择泉州市第一医院2020年4月至2022年4月收治的小儿阻塞性睡眠呼吸暂停低通气综合征100例,其中男性58例,女性42例,年龄(6.58±1.04)岁,予以对症治疗,采取家庭睡眠监测仪监测患儿的睡眠情况,比较所有患儿治疗前后氧减饱和度指数(DI4)、最低血氧饱和度(LSaO_(2))、平均血氧饱和度(MSaO_(2))、呼吸紊乱事件次数、低氧次数、睡眠质量及生活质量(SF-36)评分的变化。采用配对t检验。结果患儿治疗后的DI4、LSaO_(2)、MSaO_(2)分别为(2.55±1.04)次/h、(96.27±5.11)%、(98.23±2.36)%,治疗前分别为(62.09±3.58)次/h、(83.14±4.25)%、(94.05±1.87)%,差异均有统计学意义(t=159.710、19.755、13.882,均P<0.001)。患儿治疗后的低氧次数、呼吸紊乱事件次数为(2.15±0.60)次、(1.16±0.27)次,均低于治疗前的(53.36±4.15)次、(40.09±3.28)次(t=122.128、118.289,均P<0.001)。治疗后睡眠效率、入睡时间、催眠药物、睡眠时间、日间功能障碍、睡眠障碍评分均低于治疗前(均P<0.001),生理职能、健康状况、生理机能、躯体疼痛、精力评分均高于治疗前(均P<0.001)。结论家庭睡眠监测仪在监测阻塞性睡眠呼吸暂停低通气综合征患儿睡眠情况上效果显著,能够及时掌握患儿病情变化及恢复程度,值得推广使用。

Objective To study the application effect of home-sleep monitor in children with obstructive sleep apnea-hypopnea syndrome.Methods A total of 100 children with obstructive sleep apnea-hypopnea syndrome treated in Quanzhou First Hospital from April 2020 to April 2022 were selected,including 58 boys and 42 girls,aged(6.58±1.04)years.The home-sleep monitor and symptomatic treatment were applied.Children's treatment outcomes were evaluated through the oxygen desaturation index 4(DI4),lowest oxygen saturation(LSaO_(2)),mean oxygen saturation(MSaO_(2)),respiratory disturbance frequency,hypoxia frequency,and scores of sleep quality and MOS item short from health survey(SF-36).Paired t test was used.Results The DI4,LSaO_(2),and MSaO_(2) after treatment were(2.55±1.04)times/h,(96.27±5.11)%,and(98.23±2.36)%,respectively,and those before treatment were(62.09±3.58)times/h,(83.14±4.25)%,and(94.05±1.87)%,respectively,with statistically significant differences(t=159.710,19.755,and 13.882;all P<0.001).After treatment,the number of hypoxia and respiratory disorders were(2.15±0.60)and(1.16±0.27)times,which were lower than those before treatment[(53.36±4.15)and(40.09±3.28)times](t=122.128 and 118.289,both P<0.001).After treatment,the scores of sleep efficiency,fall-sleep time,hypnotic drug usage,sleep time,daytime dysfunction,and sleep disorder were lower than those before treatment(all P<0.001),and the scores of role physical,health condition,physiological function,body pain,and vitality were higher than those before treatment(all P<0.001).Conclusion Home-sleep monitor is applicable to properly know about the illness states and recovery conditions in children with obstructive sleep apnea-hypopnea syndrome,worthy of clinical promotion and application.