阻塞性睡眠呼吸暂停低通气综合征合并注意缺陷多动障碍患儿临床特征分析

目的:观察阻塞性睡眠呼吸暂停低通气综合征合并注意缺陷多动障碍患儿的临床表现情况,从而对临床特征进行分析.方法:随机选取2016年1 月至2019年1 月重庆市开州区人民医院收治的阻塞性睡眠呼吸暂停低通气综合征合并注意缺陷多动障碍患者60例作为研究对象,根据是否合并注意缺陷多动障碍分为观察组和对照组,每组30例,合并注意缺陷多动障碍为观察组,不合并为对照组,对2组患者的定量指标差异进行比较,包括:(睡眠障碍、身体情况、情绪障碍、多巴胺水平、去甲肾上腺素水平),对不同年龄的阻塞性睡眠呼吸暂停低通气综合征合并注意缺陷多动障碍患儿的睡眠监测指标进行比较,(AHI、SaO2).结果:观察组患者的睡眠障碍评分、身体情况评分、情绪障碍评分高于对照组,多巴胺水平高于对照组,去甲肾上腺素水平低于对照组,差异有统计学意义(P<0.05);随着年龄的增长,患者的AHI水平在逐渐提升,SaO2 则在逐渐降低.结论:阻塞性睡眠呼吸暂停低通气综合征合并注意缺陷多动障碍患儿的睡眠质量、身体健康以及心理情况均难以控制,多巴胺的水平升高,可以与并发症相关.

Clinical Characteristics of Obstructive Sleep Apnea Hypopnea Syndrome with Attention Deficit Hyperactivity Disorder

Objective:To observe the clinical manifestations of children with obstructive sleep apnea hypopnea syndrome combined with attention deficit hyperactivity disorder,and to analyze the clinical characteristics.Methods:Random from our hospital in January 2016 to January 2019 in this period of obstructive sleep apnea hypopnea syndrom with attention deficit hyperactivity disorder in patients with selected 60 patients,according to whether the combination of attention deficit hyperactivity disorder,grouping with attention deficit hyperactivity disorder as observation group,not into control group,the quantitative index to compare the difference in two groups of patients,including:(sleep disorders,physical conditions,mood disorders,dopamine levels,norepinephrine levels),the sleep monitoring indexes of children with obstructive sleep apnea hypopnea syndrome combined with attention deficit hyperactivity disorder at different ages were compared(AHI,SaO 2).Results:The scores of sleep disorders,physical conditions and emotional disorders in the observation group were higher than those in the control group,the levels of dopamine were higher than those in the control group,and the levels of norepinephrine were lower than those in the control group.The differences were significant and statistically significant(P<0.05).With the increase of age,the AHI level of patients was gradually increased,while SaO 2 was gradually decreased.Conclusion:The sleep quality,physical health and psychological condition of children with obstructive sleep apnea hypopnea syndrome combined with attention deficit hyperactivity disorder are difficult to control.