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手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征临床疗效分析
引用本文:巨霞,肖丽,魏巍,刘丽庭. 手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征临床疗效分析[J]. 现代医药卫生, 2011, 27(14): 2087-2088
作者姓名:巨霞  肖丽  魏巍  刘丽庭
作者单位:潍坊市潍坊医学院耳鼻咽喉科,山东潍坊,261042
摘    要: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.

关 键 词:腺样体扁桃体切除术  儿童  阻塞性睡眠呼吸暂停低通气综合征  生活质量

Therapeutic effects of surgery for treating children obstructive sleep apnea hypopnea syndrome
JU Xia , XIAO Li , WEI Wei , LIU Li-ting. Therapeutic effects of surgery for treating children obstructive sleep apnea hypopnea syndrome[J]. JOURNAL OF MODERN MEDICINE & HEALTH, 2011, 27(14): 2087-2088
Authors:JU Xia    XIAO Li    WEI Wei    LIU Li-ting
Affiliation:JU Xia,XIAO Li,WEI Wei,LIU Li-ting(Department of ENT,Weifang Medical College,Weifang,Shandong 261042,China)
Abstract:Objective:To discuss the clinical results by performing adenoidectomy and/or tonsillectomy for treating obstructive sleep apnea hypopnea syndrome(OSAHS) in children.Methods:Among 61 cases of pediatric OSAHS diagnosed by overnight polysomnography(PSG),1 case underwent tonsillectomy,53 cases did tonsillectomy plus adenectomy and 7 cases did simple adenoidectomy.All cases were followed up for 3-6 months after treatment,and the questionnaire on quality of life for children with obstructive sleep apnea-18 items(...
Keywords:Adenoidectomy and tonsillectomy  Children  Obstructive sleep apnea hypopnea syndrome  Quality of life  
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