多导睡眠监测和头颅侧位片在儿童睡眠呼吸障碍诊治中的应用

发布时间：2018-02-26 12:26

  本文关键词： 儿童 睡眠呼吸暂停低通气综合征 阻塞性 多导睡眠监测 头颅侧位片　出处：《临床耳鼻咽喉头颈外科杂志》2014年24期 　论文类型：期刊论文

【摘要】：目的:探讨多导睡眠监测(PSG)和头颅侧位片(LCR)在儿童睡眠呼吸障碍(SDB)诊治中的应用。方法:选择SDB患儿157例,其中单纯性打鼾(PS)组115例,阻塞性睡眠呼吸暂停低通气综合征(OSAHS)组42例。分别行双侧扁桃体切除和腺样体切除,术前、术后行PSG和LCR检查,对各项测量指标进行统计学分析。结果:PS组和OSAHS组腺样体厚度的差异有统计学意义(P0.01);鼻咽气道斜径术前差异有统计学意义(P0.05)。PS组和OSAHS组鼻咽气道斜径和口咽气道前后径术前术后的差异均有统计学意义(均P0.01)。OSAHS组AHI及LSaO2术前术后差异均有统计学意义(均P0.01)。PS组总有效率为97.4%(112/115),OSAHS组总有效率为97.6%(41/42)。结论:PSG和LCR在儿童SDB诊治中是重要的参考指标。双侧扁桃体和腺样体切除是治疗儿童SDB的主要手段。
[Abstract]:Objective: to investigate the application of polysomnography (PSG) and lateral cephalic radiographs (LCRs) in the diagnosis and treatment of sleep apnea disorder (SDBs) in children. 42 patients with obstructive sleep apnea hypopnea syndrome underwent bilateral tonsillectomy and adenoidectomy. PSG and LCR were performed before and after operation. Results there were significant differences in adenoid thickness between the OSAHS group and the PS group (P 0.01), and there were significant differences in the oblique diameter of nasopharynx airway before operation (P 0.05). PS group and OSAHS group (P 0.05) and OSAHS group (P < 0 05) had significant difference in nasopharyngeal airway oblique diameter and anterior oropharynx airway diameter. There were statistically significant differences in posterior diameter before and after operation (P 0.01g 路OSAHS group) and LSaO2 group (P 0.01g 路PS group). The total effective rate was 97.4 / 115.The total effective rate of OSAHS group was 97.60.46% 42.Conclusion the ratio of AHI and LCR is important in the diagnosis and treatment of SDB in children. Bilateral tonsillectomy and adenoidectomy are the main methods for the treatment of SDB in children.
【作者单位】： 淄博市中心医院耳鼻咽喉头颈外科;淄博市中心医院放射科;
【分类号】：R766
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本文编号：1538009