阻塞性睡眠呼吸暂停低通气综合征对学龄前期儿童体格发育的影响及手术干预效果

目的探讨阻塞性睡眠呼吸暂停低通气综合征对学龄前期儿童体格发育的影响及手术干预效果。方法对经PSG监测确诊的49例OSAHS 患儿，记录其术前和术后6个月的体格生长指标测量结果，并与同年龄组的正常儿童作对照。结果术前：中、重度OSAHS组患儿体格发育指标均低于对照组儿童，轻度OSAHS组患儿仅身高和坐高低于对照组儿童；术后6个月：轻、中度OSAHS组患儿体格发育指标与对照组差异无统计学意义，重度OSAHS组患儿仍有部分体格发育指标低于对照组。结论阻塞性睡眠呼吸暂停低通气综合征可以影响学龄前期儿童体格生长，手术干预效果佳，需及早进行。

Influence of obstructive sleep apnea hypopnea syndrome on physical growth characters of preschool children and the effect of the operations

To explore the influence of obstructive sleep apnea hypopnea syndrome(OSAHS) on physical growth characters in preschool children and the effect of the operations. Methods49 children with OSAHS proved by polysomnography(PSG)had their physical growth characters determined before and 6 months after the operations. 40 healthy children served as controls. Results① Before the operations, all physical growth characters of the moderate and severe OSAHS groups were significantly lower than those of the control group, however only the height and sitting height of the mild OSAHS group were lower than those of the control group. ② 6 months after the operations, physical growth characters of the mild and moderate OSAHS groups were not significantly lower than those of the control group, but some of the severe OSAHS group still were lower than those of the control group. ConclusionsOSAHS can effect physical growth and neuropsychological characters of preschool children and should be operated on early.