国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
9期
1043-1045
,共3页
阻塞性睡眠呼吸暂停综合征%儿童%通气障碍
阻塞性睡眠呼吸暫停綜閤徵%兒童%通氣障礙
조새성수면호흡잠정종합정%인동%통기장애
Obstructive sleep apnea syndrome%Children%Dyspnea
目的 筛选儿童阻塞性睡眠呼吸暂停综合征(OSAS)术毕通气障碍的危险因素.方法 选择6-12岁OSAS行扁桃体腺样体切除术患儿80例,对其年龄、性别、体重指数(BMI)、ASA分级、术前上呼吸道感染(＜2周)进行回顾性分析.结果 15例发生通气障碍患儿中,7例存在术前上呼吸道感染(46.7%),6例BMI≥25 kg/m2;无上呼吸道感染而发生通气障碍的患儿显著少于感染(＜2周)者(P＜0.05);BMI≥25 kg/m2患儿发生通气障碍显著多于BMI＜25kg/m2的患儿(P＜0.05).结论 术前上呼吸道感染和肥胖是OSAS患儿术毕通气障碍的主要危险因素.
目的 篩選兒童阻塞性睡眠呼吸暫停綜閤徵(OSAS)術畢通氣障礙的危險因素.方法 選擇6-12歲OSAS行扁桃體腺樣體切除術患兒80例,對其年齡、性彆、體重指數(BMI)、ASA分級、術前上呼吸道感染(＜2週)進行迴顧性分析.結果 15例髮生通氣障礙患兒中,7例存在術前上呼吸道感染(46.7%),6例BMI≥25 kg/m2;無上呼吸道感染而髮生通氣障礙的患兒顯著少于感染(＜2週)者(P＜0.05);BMI≥25 kg/m2患兒髮生通氣障礙顯著多于BMI＜25kg/m2的患兒(P＜0.05).結論 術前上呼吸道感染和肥胖是OSAS患兒術畢通氣障礙的主要危險因素.
목적 사선인동조새성수면호흡잠정종합정(OSAS)술필통기장애적위험인소.방법 선택6-12세OSAS행편도체선양체절제술환인80례,대기년령、성별、체중지수(BMI)、ASA분급、술전상호흡도감염(＜2주)진행회고성분석.결과 15례발생통기장애환인중,7례존재술전상호흡도감염(46.7%),6례BMI≥25 kg/m2;무상호흡도감염이발생통기장애적환인현저소우감염(＜2주)자(P＜0.05);BMI≥25 kg/m2환인발생통기장애현저다우BMI＜25kg/m2적환인(P＜0.05).결론 술전상호흡도감염화비반시OSAS환인술필통기장애적주요위험인소.
Objective To determine the risk factors for dyspnea after surgery in children with obstructive sleep apnea syndrome(OSAS) . Methods Eighty children aged 6-12 years who had undergone adenotonsillectomy due to OSAS were included in this study.Age,gender,body mass index(BMI),ASA classification,and upper respiratory infection(URI)were retrospectively analyzed.Results Of fifteen children with dyspnea,seven(46.7%)had URI before surgery,six had BMI of=25 kg/m2.The incidence of dyspnea was significantly lower in children without URI than in those with URI＜2w(P＜0.05);and it was significantly higher in those with BMI=25 kg/m2 than in those with BMI＜25 kg/m2.Conclusions Upper respiratory infection before surgery and obesity are the main risk factors for dyspnea after surgery in children with obstructive sleep apnea syndrome.
