CAJ | 학술논문

目的：研究 OSAHS 患儿抗反流治疗前后血氧饱和度的变化。方法入选2012年2月至2014年2月我院50例入院治疗 OSAHS 患儿作为观察组进行研究，另选择50例健康小儿作为对照组。在观察组患者治疗前后对所有研究对象的血氧饱和度进行检测，并观察分析其变化。结果两组研究对象在治疗前，观察组的夜间平均最低血氧饱和度明显低于对照组水平，差异具有统计学意义（P ＜0．05）；治疗之后，两组研究对象的夜间平均最低血氧饱和度仍存在差异，但是观察组水平得到有效改善。两组研究对象的全血还原黏度以及红细胞聚集指数水平比较，观察组的两项指标均得到有效改善，差异具有统计学意义（P ＜0．05）。两组研究对象在观察组治疗之前，红细胞数量以及血红蛋白数量具有显著差异，差异具有统计学意义（P ＜0．05）。在观察组治疗之后，两组的红细胞数量以及血红蛋白数量无显著差异（P ＞0．05）。结论对 OSAHS 患儿实施抗反流治疗，能够改善患儿的血氧饱和度，但是不能对OSAHS 治愈。因此，抗反流治疗对于 OSAHS 患儿只能作为辅助性的方法。
목적：연구 OSAHS 환인항반류치료전후혈양포화도적변화。방법입선2012년2월지2014년2월아원50례입원치료 OSAHS 환인작위관찰조진행연구，령선택50례건강소인작위대조조。재관찰조환자치료전후대소유연구대상적혈양포화도진행검측，병관찰분석기변화。결과량조연구대상재치료전，관찰조적야간평균최저혈양포화도명현저우대조조수평，차이구유통계학의의（P ＜0．05）；치료지후，량조연구대상적야간평균최저혈양포화도잉존재차이，단시관찰조수평득도유효개선。량조연구대상적전혈환원점도이급홍세포취집지수수평비교，관찰조적량항지표균득도유효개선，차이구유통계학의의（P ＜0．05）。량조연구대상재관찰조치료지전，홍세포수량이급혈홍단백수량구유현저차이，차이구유통계학의의（P ＜0．05）。재관찰조치료지후，량조적홍세포수량이급혈홍단백수량무현저차이（P ＞0．05）。결론대 OSAHS 환인실시항반류치료，능구개선환인적혈양포화도，단시불능대OSAHS 치유。인차，항반류치료대우 OSAHS 환인지능작위보조성적방법。
Objective To study blood oxygen saturation changes of children with OSAHS anti reflux before and af-ter treatment.Methods 50 cases of children with OSAHS hospitalized from February 2012 to February 2014 in our hospital were as observation group ,another 50 cases of healthy children were selected as control group.Blood oxygen saturation of all the study objects before and after treatment were detected of patients of the observation group,its changes were observed and analyzed.Results The study objects of two groups before treatment,average lowest oxygen saturation of the observation group was significantly lower than the level of control group,the difference had statistical significance (P < 0.05);After treatment ,there were still differences between nocturnal average the lowest oxygen sat-uration of the study objects of two groups ,but level of the observation group was improved effectively.The comparison of whole blood reduced viscosity and erythrocyte aggregation index level of study objects of two groups ,the two inde-xes of the observation group were improved,the difference had statistical significance(P <0.05).The study objects of two groups before treatment of observation group,the number of red cells and hemoglobin had significant difference,the difference had statistical significance (P < 0.05).;After treatment of the observation group ,there were no significant differences between the numbers of red blood cell count and hemoglobin of two groups.Conclusion Children with OS-AHS are given anti reflux treatment and can improve children's blood oxygen saturation ,but OSAHS cannot be cured. Therefore,anti reflux treatment for children with OSAHS was only as auxiliary way.