广州市荔湾区学龄前儿童阻塞性睡眠呼吸暂停低通气综合征患病调查分析

发布时间：2018-04-23 07:42

本文选题：学龄前儿童 + 阻塞性睡眠呼吸暂停低通气综合征　；参考：《中国儿童保健杂志》2014年01期

【摘要】：目的了解广州市荔湾区学龄前儿童阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea-hypopnea syndrome,OSAHS)的患病情况及影响因素,为制定干预措施提供依据。方法选择广州市荔湾区两个街道各随机抽取2个总人数在300人以上的幼儿园为调查单位,进行身高、体重等体格检查,用统一的调查方法和调查问卷对儿童家长进行调查,筛选出习惯性打鼾儿童,再对之行多导睡眠(polysomnography,PSG)监测。结果在被调查的1 326名儿童中,习惯性打鼾者259例,患病率为19.53%,其中经PSG监测诊断为OSAHS者96例,患病率为7.24%,男女间患病率差异无统计学意义;多因素Logistic回归分析显示父亲经常打鼾、近一年扁桃腺炎发生次数、近一年鼻炎发生次数、身高别体重为影响儿童OSAHS发病的影响因素。结论荔湾区学龄前儿童OSAHS患病率较高,引起学龄前儿童OSAHS的独立危险因素较多,应采取综合措施进行有效干预。
[Abstract]:Objective to investigate the prevalence and influencing factors of obstructive sleep apnea-hypopnea syndrome (OSAS) in preschool children in Liwan District, Guangzhou. Methods two kindergartens with a total number of more than 300 persons were randomly selected from two streets of Liwan District, Guangzhou for physical examination of height, weight and so on. The parents of children were investigated with a unified survey method and questionnaire. Children with habitual snoring were screened and monitored by polysomnography G (PSG). Results among the 1 326 children surveyed, 259 cases were habitual snoring, the prevalence rate was 19.53, among which 96 cases were diagnosed as OSAHS by PSG monitoring, the prevalence rate was 7.24 and there was no significant difference between male and female. Multivariate Logistic regression analysis showed that father often snored, the incidence of tonsillitis occurred in the past year, rhinitis occurred in the last year, and height and weight were the influencing factors for the incidence of OSAHS in children. Conclusion the prevalence of OSAHS in preschool children in Liwan District is high, and there are many independent risk factors for OSAHS in preschool children. Therefore, comprehensive measures should be taken for effective intervention.
【作者单位】：广州医科大学荔湾医院;
【基金】：广东省医学科学技术研究基金资助项目(2010A504)
【分类号】：R766

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