中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
1期
12-13
,共2页
睡眠呼吸暂停,阻塞性%儿童%手术%韦氏智力量表%智力测验
睡眠呼吸暫停,阻塞性%兒童%手術%韋氏智力量錶%智力測驗
수면호흡잠정,조새성%인동%수술%위씨지역량표%지력측험
Sleep apnea,obstructive%Child%Surgery%Wechsler scales%Intelligence
目的 探讨早期手术治疗对鼾症患儿智力发育的影响,为小儿鼾症早期手术提供重要依据.方法 对鼾症患儿40例行双侧扁桃体和/或腺样体切除术(观察组),采用中国-韦氏幼儿智力量表(C-WYCSI)进行术前和术后6个月的智力测试,包括语言智商和操作智商两部分共11项分测试；操作智商又包括视觉分析测验(VA)和几何图形测验(GD)两类.按照1∶1匹配选择同性别、同年龄(±3个月)、家庭条件相当的健康体检学龄前期儿童40例作为对照组进行比较.结果 观察组术前总智商、言语智商、操作智商分别为82、81、83,均低于对照组的101、101、101(t=4.131、3.952、3.842,均P＜0.05)；术后总智商、言语智商及操作智商分别为98、98、99,均在正常范围,与对照组差异均无统计学意义(均P＞0.05).结论 鼾症患儿早期手术治疗可以改善患儿智力；鼾症患儿影响呼吸并有手术指征者,宜早期手术治疗.
目的 探討早期手術治療對鼾癥患兒智力髮育的影響,為小兒鼾癥早期手術提供重要依據.方法 對鼾癥患兒40例行雙側扁桃體和/或腺樣體切除術(觀察組),採用中國-韋氏幼兒智力量錶(C-WYCSI)進行術前和術後6箇月的智力測試,包括語言智商和操作智商兩部分共11項分測試；操作智商又包括視覺分析測驗(VA)和幾何圖形測驗(GD)兩類.按照1∶1匹配選擇同性彆、同年齡(±3箇月)、傢庭條件相噹的健康體檢學齡前期兒童40例作為對照組進行比較.結果 觀察組術前總智商、言語智商、操作智商分彆為82、81、83,均低于對照組的101、101、101(t=4.131、3.952、3.842,均P＜0.05)；術後總智商、言語智商及操作智商分彆為98、98、99,均在正常範圍,與對照組差異均無統計學意義(均P＞0.05).結論 鼾癥患兒早期手術治療可以改善患兒智力；鼾癥患兒影響呼吸併有手術指徵者,宜早期手術治療.
목적 탐토조기수술치료대한증환인지력발육적영향,위소인한증조기수술제공중요의거.방법 대한증환인40례행쌍측편도체화/혹선양체절제술(관찰조),채용중국-위씨유인지역량표(C-WYCSI)진행술전화술후6개월적지력측시,포괄어언지상화조작지상량부분공11항분측시；조작지상우포괄시각분석측험(VA)화궤하도형측험(GD)량류.안조1∶1필배선택동성별、동년령(±3개월)、가정조건상당적건강체검학령전기인동40례작위대조조진행비교.결과 관찰조술전총지상、언어지상、조작지상분별위82、81、83,균저우대조조적101、101、101(t=4.131、3.952、3.842,균P＜0.05)；술후총지상、언어지상급조작지상분별위98、98、99,균재정상범위,여대조조차이균무통계학의의(균P＞0.05).결론 한증환인조기수술치료가이개선환인지력；한증환인영향호흡병유수술지정자,의조기수술치료.
Objective To explore the early surgical treatment for sleep apnea in children with the influence of mental development,provide important basis for children with sleep apnea early surgery.Methods 40 children with sleep apnea underwent bilateral amygdala and/or adenoidectomy (observation group).The Chinese wechsler intelligence scale for children (C-WYCSI) was used for preoperative and postoperative 6 months of intelligence tests,including language IQ and operation IQ test two parts,a total of 11 points.Operation IQ but also contain visual analysis test(VA) and two categories,including geometry test (GD).According to the 1 ∶ 1 matching selection of the same gender,and age(± 3 months),family condition was quite healthy check-up preschool children comparing 40 cases as control group.Results Observation group preoperative total intelligence quotient (IQ),verbal IQ,IQ operation was 82,81,83,respectively,which were lower than those of the control group 101,101,101 (t =4.131,3.952,3.842,all P ＜ 0.05).Postoperative total intelligence quotient(IQ),verbal IQ and operation IQ 98,98,99,respectively,were in normal range,with no statistically significant difference were observed in the control group (all P ＞ 0.05).Conclusion Children with sleep apnea early surgical treatment can improve children mental development.Children with sleep apnea early,breathing and surgical indications should be early surgical treatment.
