中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
6期
107-109
,共3页
蔡克文%叶进%黎红珍%徐惠清
蔡剋文%葉進%黎紅珍%徐惠清
채극문%협진%려홍진%서혜청
睡眠呼吸暂停低通气综合征%阻塞性%手术%生活质量
睡眠呼吸暫停低通氣綜閤徵%阻塞性%手術%生活質量
수면호흡잠정저통기종합정%조새성%수술%생활질량
Sleep apnea hypopnea syndrome%Obstructive%Child%Surgery%Quality of life
目的 评价阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患儿行扁桃体和(或)腺样体切除手术治疗前后生活质量的改善程度;分析多导睡眠监测(Poly-semnogram, PSG)与疾病特异性生活质量调查结果 之间的相关性.方法 对行整夜PSG监测确诊为OS-AHS的患儿行手术治疗,术后随访.由护理人员使用OSA-18量表对患儿手术前后生活质量进行评估,并分析术前PSG与OSA-18指标之间的相关性.结果 28例PSG结果 达到OSAHS诊断标准.OSAHS患儿术后的OSA-18总分及各维度评分较术前均明显降低(P<0.01).患儿术前呼吸暂停指数(apnea hypopnea index AHI)与OSA-18量表中睡眠障碍、身体症状和对监护人影响3个维度的评分有明显相关性(P<0.01),而与总分及其他2个维度无显著相关(P>0.05).结论 对PSG确诊的OSAHS患儿,扁桃体和(或)腺样体切除术后PSG指标显著改善伴随生活质量明显提高,但没有发现术前OSA-18量表评分与PSG检测指标之间有显著相关性.
目的 評價阻塞性睡眠呼吸暫停低通氣綜閤徵(obstructive sleep apnea hypopnea syndrome,OSAHS)患兒行扁桃體和(或)腺樣體切除手術治療前後生活質量的改善程度;分析多導睡眠鑑測(Poly-semnogram, PSG)與疾病特異性生活質量調查結果 之間的相關性.方法 對行整夜PSG鑑測確診為OS-AHS的患兒行手術治療,術後隨訪.由護理人員使用OSA-18量錶對患兒手術前後生活質量進行評估,併分析術前PSG與OSA-18指標之間的相關性.結果 28例PSG結果 達到OSAHS診斷標準.OSAHS患兒術後的OSA-18總分及各維度評分較術前均明顯降低(P<0.01).患兒術前呼吸暫停指數(apnea hypopnea index AHI)與OSA-18量錶中睡眠障礙、身體癥狀和對鑑護人影響3箇維度的評分有明顯相關性(P<0.01),而與總分及其他2箇維度無顯著相關(P>0.05).結論 對PSG確診的OSAHS患兒,扁桃體和(或)腺樣體切除術後PSG指標顯著改善伴隨生活質量明顯提高,但沒有髮現術前OSA-18量錶評分與PSG檢測指標之間有顯著相關性.
목적 평개조새성수면호흡잠정저통기종합정(obstructive sleep apnea hypopnea syndrome,OSAHS)환인행편도체화(혹)선양체절제수술치료전후생활질량적개선정도;분석다도수면감측(Poly-semnogram, PSG)여질병특이성생활질량조사결과 지간적상관성.방법 대행정야PSG감측학진위OS-AHS적환인행수술치료,술후수방.유호리인원사용OSA-18량표대환인수술전후생활질량진행평고,병분석술전PSG여OSA-18지표지간적상관성.결과 28례PSG결과 체도OSAHS진단표준.OSAHS환인술후적OSA-18총분급각유도평분교술전균명현강저(P<0.01).환인술전호흡잠정지수(apnea hypopnea index AHI)여OSA-18량표중수면장애、신체증상화대감호인영향3개유도적평분유명현상관성(P<0.01),이여총분급기타2개유도무현저상관(P>0.05).결론 대PSG학진적OSAHS환인,편도체화(혹)선양체절제술후PSG지표현저개선반수생활질량명현제고,단몰유발현술전OSA-18량표평분여PSG검측지표지간유현저상관성.
Objective To observe improvement in quality of life after adenotonsillectomy in children with obstructive sleep apnea hypopnea syndrome (OSAHS). To evaluate the relationship between polysomno-gram (PSG) results and disease-specific quality of life for children with obstructive sleep apnea 18 item survey (OSA-18). Methods 28 Children with OSAHS were enrolled. All study participants underwent overnight PSG using standardized techniques. The effectiveness of adenotonsillectomy for the relief of OSAHS was evaluated by using the OSA-18. Follow-up was assessed at 6-9 months after operation. Preoperative and postoperative OSA-18 scores for each children were compared. Results The study population inculded 28 children with OSAHS. The total OSA-18 scores and the scores for all domains showed significant improvement after surgery for children with OSAHS(P < 0.001). The domains of sleep disturbance, physical suffering and caregiver concerns showed signif-icant association with PSG parameters (P<0. 001). But no strong association was identified for OSA-18 total scores and other two domains (P > 0.05). Conclusion Children with OSAHS showed a dramatic improvement in quality of life after adenotonsillectomy. Fortunately, surgical therapy with adenotonsillectomy was associated with marked improvement in quality of life for children with OSAHS. However, the association between PSG find-ings and OSA-18 scores was only moderate.
