腺样体扁桃体切除术对儿童睡眠结构和生活质量的影响

目的对阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患儿行腺样体扁桃体切除术，并评价手术前后睡眠呼吸参数及生活质量的改善情况。方法对57例OSAHS患儿术前1～2周及术后6～9个月行多导睡眠监测（PSG）和生活质量调查（OSA-18），分析手术治疗前后患儿PSG参数和OSA-18评分的变化。结果术前呼吸暂停低通气指数（AHI）或阻塞性呼吸暂停指数（OAI）平均值为17．7，术后降至6．5；术前最低血氧饱和度（LSaO2）平均值为82．1，术后升至88．3；术前OSA-18总分为86．9，术后降至45．3，各组术前术后比较均有统计学意义（P〈0．01）。结论腺样体扁桃体切除术能明显改善OSAHS患儿的睡眠呼吸参数和生活质量。

Influence of adenoidectomy and tonsillectomy on the sleep structure and quality of life in children

Objective To investigate the effect of adenoidectomy and tonsillectomy on the sleep structure and quality of llfe in children with obstructive sleep apnea hypopnea syndrome （OSAHS）. Methods Adenoidectomy and tonsillectomy were performed in 5 7 children with OSAHS. Quality of life survey （ OSA - 1 8 ） and overnight polysomnography （ PSG ） were conducted 1 to 2 weeks before and 6 to 9 months after surgery in all cases to analyze the changes of sleep - breathing parameters and OSA- 1 8 scores. Results The average preoperative AHI （ or OAI ） , LSaO2 and OSA- 1 8 score were 1 7. 7 , 8 2. 1% and 8 6.9 , respectively. The postoperative ones were 6. 5 , 8 8. 3 % and 4 5. 3 , respectively. The differences of the above parameters were statistically significant （ P 〈 0.0 1 ） before and after surgery. Conclusion Adenoidectomy and tonsillectomy can signilicantly improve the sleep- breathing parameters and the quality of life in children with OSAHS.