儿童阻塞性睡眠呼吸暂停综合征

目的探讨儿童阻塞性睡眠呼吸暂停综合征 (OSAS)中扁桃体腺样体肥大的作用及其治疗。方法回顾分析手术切除扁桃体、腺样体治疗的 3 6例儿童OSAS中扁桃体、腺样体分度、最低血氧饱和度 (SaO2 )、呼吸紊乱指数 (RDI)及麻醉、手术治疗情况。结果全部患者无手术并发症。随访 6～ 14个月 ,3 3例OSAS症状完全消失 ,2例仅有轻微鼾声 ,SaO2 94%～ 99% ;1例鼾声减弱 ,SaO2 由术前的 76%提高到 89% ,OSAS症状完全缓解。 9例夜间遗尿患者 ,7例术后完全消失 ,2例遗尿次数明显减少。结论扁桃体、腺样体肥大是引起儿童阻塞性睡眠呼吸暂停综合征的主要原因 ,扁桃体摘除、腺样体刮除术是治疗儿童阻塞性睡眠呼吸暂停综合征的有效方法

Obstructive sleep apnea syndrome in children

Objective To explore the function of adenotosillar hypertrophy in children with obstructive sleep apnea syndrome(OSAS) and treatment of OSAS.Methods The type of tonsil and adenoid,the lowest oxygen saturation(SaO 2),respiratory disturbance index(RDI) in 36 children with OSAS,who were placed on tonsillectomy and adenoidectomy for the treatment of OSAS,as well as anesthesia and operation ,were analyzed retrospectively.Results All patients had no operative complications.Within 6 14 months follow up,OSAS symptom in 33 cases disappeared completely,2 showed slight snore and 94% 99% SaO 2,1 had decreased snore and SaO 2 increased from 76% before operation to 89%,with completely relieved OSAS symptom.Among them,7 of 9 cases with enuresis in the evening were cured completely following operation,and 2 had reduced times of enuresis in the evening.Conclusion OSAS in children is mainly caused by tonsil and adenoid hypertrophy,so tonsillectomy and adenoidectomy are the effective way to treat OSAS in children.