早期手术治疗对鼾症患儿智力发育的影响

目的 探讨早期手术治疗对鼾症患儿智力发育的影响,为小儿鼾症早期手术提供重要依据.方法 对鼾症患儿40例行双侧扁桃体和/或腺样体切除术（观察组）,采用中国-韦氏幼儿智力量表（C-WYCSI）进行术前和术后6个月的智力测试,包括语言智商和操作智商两部分共11项分测试；操作智商又包括视觉分析测验（VA）和几何图形测验（GD）两类.按照1∶1匹配选择同性别、同年龄（±3个月）、家庭条件相当的健康体检学龄前期儿童40例作为对照组进行比较.结果 观察组术前总智商、言语智商、操作智商分别为82、81、83,均低于对照组的101、101、101（t=4.131、3.952、3.842,均P＜0.05）；术后总智商、言语智商及操作智商分别为98、98、99,均在正常范围,与对照组差异均无统计学意义（均P＞0.05）.结论 鼾症患儿早期手术治疗可以改善患儿智力；鼾症患儿影响呼吸并有手术指征者,宜早期手术治疗.

Influence of early operation treatment for snoring children on intelligence development

Objective To explore the early surgical treatment for sleep apnea in children with the influence of mental development,provide important basis for children with sleep apnea early surgery.Methods 40 children with sleep apnea underwent bilateral amygdala and/or adenoidectomy （observation group）.The Chinese wechsler intelligence scale for children （C-WYCSI） was used for preoperative and postoperative 6 months of intelligence tests,including language IQ and operation IQ test two parts,a total of 11 points.Operation IQ but also contain visual analysis test（VA） and two categories,including geometry test （GD）.According to the 1 ∶ 1 matching selection of the same gender,and age（± 3 months）,family condition was quite healthy check-up preschool children comparing 40 cases as control group.Results Observation group preoperative total intelligence quotient （IQ）,verbal IQ,IQ operation was 82,81,83,respectively,which were lower than those of the control group 101,101,101 （t =4.131,3.952,3.842,all P 〈 0.05）.Postoperative total intelligence quotient（IQ）,verbal IQ and operation IQ 98,98,99,respectively,were in normal range,with no statistically significant difference were observed in the control group （all P 〉 0.05）.Conclusion Children with sleep apnea early surgical treatment can improve children mental development.Children with sleep apnea early,breathing and surgical indications should be early surgical treatment.