CAJ | 학술논문

目的:探讨扁桃体和(或)腺样体切除术治疗儿童阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)的临床疗效.方法:经多导睡眠检测(polysomnography,PSG)证实的儿童OSAHS患儿共61例,行单纯扁桃体切除1例,扁桃体伴腺样体切除53例,单纯腺样体切除7例.术后随访3～6个月,采用儿童OSA-18生活质量调查表(quality of life for children with obstructive sleep apnea-18 items,OSA-18)评价临床疗效.结果:术后大多数患儿打鼾、睡眠呼吸暂停、张口呼吸等主要症状得到明显缓解,生活质量调查表(OSA-18)显示:生活总体指标(85.25%)、睡眠呼吸障碍(96.72%)、身体症状(81.96%)均得到明显改善.结论:扁桃体和(或)腺样体切除术是治疗儿童OSAHS的有效方法,可有效预防并发症,改善患儿术后的生活质量.
목적:탐토편도체화(혹)선양체절제술치료인동조새성수면호흡잠정저통기종합정(obstructive sleep apnea hypopnea syndrome,OSAHS)적림상료효.방법:경다도수면검측(polysomnography,PSG)증실적인동OSAHS환인공61례,행단순편도체절제1례,편도체반선양체절제53례,단순선양체절제7례.술후수방3～6개월,채용인동OSA-18생활질량조사표(quality of life for children with obstructive sleep apnea-18 items,OSA-18)평개림상료효.결과:술후대다수환인타한、수면호흡잠정、장구호흡등주요증상득도명현완해,생활질량조사표(OSA-18)현시:생활총체지표(85.25%)、수면호흡장애(96.72%)、신체증상(81.96%)균득도명현개선.결론:편도체화(혹)선양체절제술시치료인동OSAHS적유효방법,가유효예방병발증,개선환인술후적생활질량.