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睡眠呼吸障碍儿童总脑电醒觉反应指数的临床研究
引用本文:黄振云,罗仁忠,孙昌志,许家健,易新华,刘丽. 睡眠呼吸障碍儿童总脑电醒觉反应指数的临床研究[J]. 中国耳鼻咽喉头颈外科, 2021, 28(1): 45-48
作者姓名:黄振云  罗仁忠  孙昌志  许家健  易新华  刘丽
作者单位:广州市妇女儿童医疗中心耳鼻咽喉科,广州 广东 510120;广州市妇女儿童医疗中心耳鼻咽喉科,广州 广东 510120;广州市妇女儿童医疗中心耳鼻咽喉科,广州 广东 510120;广州市妇女儿童医疗中心耳鼻咽喉科,广州 广东 510120;广州市妇女儿童医疗中心耳鼻咽喉科,广州 广东 510120;广州市妇女儿童医疗中心耳鼻咽喉科,广州 广东 510120
摘    要:目的 探讨影响睡眠呼吸障碍(sleep disordered breathing,SDB)患儿总脑电醒觉反应指数(arousal index,ArI)的因素.方法 2018年3月~2019年3月因疑似阻塞性睡眠呼吸暂停低通气综合征(OSAHS)而进行多道睡眠监测的75例患儿作为研究对象,OSAHS的诊断标准采用《儿童阻...

关 键 词:睡眠呼吸暂停综合征  儿童  脑电醒觉反应指数

Study of total arousal index in children with sleep disordered breathing
HUANG Zhenyun,LUO Renzhong,SUN Changzhi,XU Jiajian,YI Xinhua,LIU Li. Study of total arousal index in children with sleep disordered breathing[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2021, 28(1): 45-48
Authors:HUANG Zhenyun  LUO Renzhong  SUN Changzhi  XU Jiajian  YI Xinhua  LIU Li
Affiliation:(Department of Otolaryngology,Guangzhou Women and Children’s Medical Center,Guangzhou,Guangdong,510120,China)
Abstract:OBJECTIVE To explore the factors influencing the total arousal index(ArI)in children with sleep disordered breathing(SDB).METHODS Between March 2018 and March 2019,75 children suspected of OSAHS underwent overnight polysomnogram monitoring in our medicine sleep center.OSAHS was diagnosed according to the general criterion(Urumqi).Seventy-five children were divided into two groups,32 children who were diagnosed as OSAHS were enrolled in OSAHS group and 43 children made up control group(AHI≤5 events/h and OAI≤1 events/h,LSaO2≥0.92).The difference of total ArI and respiratory ArI,spontaneous ArI,limb movement ArI was compared between the two groups.Besides this,75 children were divided into two groups according to total ArI(>11 events/h vs≤11 events/h).AHI,OAI,OHI,LSaO2,respiratory ArI,spontaneous ArI,limb movement ArI and sleep structure were compared between the two groups.RESULTS1.The difference of total ArI between the OSAHS group and control group was not significant(z=-0.096,P=0.923).2.The increased spontaneous ArI and limb movement ArI was significant in">11 events/h"group(z=-5.967 and-4.025,respectively,P value all=0.000).CONCLUSIONSpontaneous ArI and limb movement ArI were the factors that increase the total ArI,total ArI may be independent of SDB-related indexes(AHI,LSaO2 et al).
Keywords:Sleep Apnea Syndromes  Child  arousal index
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