腺样体大小对儿童阻塞性睡眠呼吸暂停低通气综合征影响的研究

发布时间：2018-10-30 17:10

【摘要】：目的探索儿童腺样体大小对儿童鼾症的影响。方法收集该院2015年7月至2016年4月扁桃体Ⅱ°肿大以上及腺样体肥大的患儿,经睡眠呼吸监测(PSG)显示符合轻度或中度或重度睡眠呼吸暂停低通气综合征的患儿47例,记录患儿年龄、性别、身高、体质量、体质量指数、腺样体厚度(A)、鼻咽横径(N)、A/N比值、睡眠呼吸暂停指数、睡眠低通气指数、睡眠呼吸紊乱指数、平均血氧饱和度。然后绘制A/N比值直方图、A/N比值与睡眠呼吸暂停指数的散点图,采用SPSS17.0软件进行分析。结果将47例患儿的A/N比值绘制成图,结果符合正态分布,均值为0.72,标准差为0.109;经t检验后,差异有统计学意义(t=28.191)。A/N的比值与睡眠呼吸暂停指数绘制成散点图,结果符合正态分布。根据A/N比值分成3组,以0.72-3×0.109~0.72-0.109,0.72-0.109~0.72+0.109,0.72+0.109~0.72+3×0.109,绘制成表,将A/N比值、平均体质量指数、平均A/N比值、平均呼吸紊乱指数、平均低通气指数、平均血氧饱和度经SPSS17.0软件t检验后,差异有统计学意义(P值分别为0.003、0.020、0.010、0.012、0.011、0.00)。体质量指数、A/N比值对睡眠呼吸暂停指数的影响经线性回归检验示:偏回归系数标准化后为B_(A/N比值)=-0.387 686,B_(体质量指数)=0.047 959,因变量呼吸暂停指数P=0.021;P_(A/N比值)=0.011,P_(体质量指数)=0.064;R~2=0.017。结论 A/N比值对睡眠呼吸暂停指数呈现正态分布,对于儿童阻塞性呼吸睡眠暂停低通气综合征患者,A/N比值比体质量指数影响更大。
[Abstract]:Objective to explore the effect of adenoid size on snoring in children. Methods from July 2015 to April 2016, 47 children with mild, moderate or severe sleep apnea hypopnea syndrome were detected by (PSG). Age, sex, height, body mass index, (N), A / N ratio of adenoid thickness (A), nasopharyngeal diameter, sleep apnea index, sleep hypopnea index, sleep apnea index and sleep apnea index were recorded. Mean oxygen saturation. Then the histogram of the ratio of A / N and the scattered plot of the ratio of A / N and the sleep apnea index were drawn and analyzed by SPSS17.0 software. Results A / N ratio of 47 children was plotted, the results were in accordance with normal distribution, the mean value was 0.72, and the standard deviation was 0.109; After t test, the difference was statistically significant (t = 28.191). The ratio of A / N and the sleep apnea index were plotted as scatter points, and the results were in accordance with the normal distribution. According to the ratio of A / N, we were divided into three groups, 0.72-3 脳 0.109 ~ 0.72-0.109 ~ 0.72-0.109 ~ 0.72 0.72 0.109 ~ 0.72 0.72 0.109 ~ 0.72 0.723 脳 0.109. The ratio of A / N, the average body mass index, the average A / N ratio were drawn into a table, and the ratio of A / N, the average body mass index and the average ratio of A / N were drawn. The mean respiratory disorder index, mean hypopnea index and mean oxygen saturation were significantly different after t test by SPSS17.0 software (P = 0.003, 0.020, 0.010, 0.012, 0.0110.00, respectively). The effect of body mass index, A / N ratio on sleep apnea index by linear regression test showed that the partial regression coefficient was B _ (A / N ratio) =-0.387 686B _ (mass index) = 0.047 959. The apnea index of dependent variables was 0.021; P _ (A / N) = 0.011 ~ (-1) P _ (body mass index) = 0.064 ~ 0. 017. Conclusion A / N ratio has a normal distribution on sleep apnea index, and has more effect on obstructive sleep apnea hypopnea syndrome than body mass index in children with obstructive sleep apnea hypopnea syndrome.
【作者单位】：湖北省天门市第一人民医院耳鼻咽喉头颈外科;
【分类号】：R766

【相似文献】