腺样体扁桃体切除术对阻塞性睡眠呼吸暂停低通气综合征儿童生活质量的影响

目的　探讨腺样体扁桃体和（或）切除术对阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患儿生活质量的影响。方法　对OSAHS患儿行疾病特异性生活质量调查表（OSA-18），分析术前、术后结果差异，评估生活质量变化。结果　246例患儿临床症状均缓解，OSA-18总分由（64.80±8.95）降至（30.11±4.49），差异具有统计学意义（P <0.01）。生活质量改善总体有效率达99.60%，睡眠障碍、全身症状、对监护人的影响显著改善。结论　腺样体和（或）扁桃体切除术能够直接解除呼吸道梗阻，提高患儿睡眠质量、生活质量，可作为儿童OSAHS的主要治疗手段。

Adenotonsillectomy on quality of life in children with obstructive sleep apnea hypopnea syndrome

OBJECTIVE To explore the adenotonsillectomy on the quality of life in children with obstructive sleep apnea-hypopnea syndrome(OSAHS). METHODS A total of 246 children meet the standard of OSAHS were included in this study. All the children underwent the adenoidectomy and/or tonsillectomy. Disease-specific quality of life for children with obstructive sleep apnea 18 items survey questionnaire(OSA-18) were filled before operation and 6-8 months after operation. The change of OSA-18 scores reflected the change of the quality of life after operation. SPSS20.0 was used to analyze the data, P<0.05 is statistically difference.RESULTS OSA-18 scores dropped from (64.80±8.95) to (30.11±4.49) after operation. Every domains showed great improvement(P<0.05). The overall improvement rate of quality of life was 99.6%. CONCLUSION The quality of life were greatly improved after operation by surveyed with OSA-18 questionnaire. Adenotonsillectomy is an effective method to cure children with OSAHS caused by adenoid and/or tonsil hypertrophy.