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目的探讨儿童阻塞性睡眠呼吸暂停低通气综合征(OSAS)主要病因,临床表现,睡眠监测及问卷调查。方法所有患儿入院时填写问卷,做整夜睡眠多导仪监测。结果儿童OSAS主要病因为腺样体增生、扁桃体肥大、鼻炎、鼻窦炎、哮喘等,主要临床表现为打鼾(100%),张口呼吸(86.3%),睡眠不安(54.5%),多汗(45.4%),憋醒(5.7%),以及注意力不集中(39.7%),易激惹(13.6%)等,儿童OSAS患儿睡眠结构无明显异常。治疗方法主要是腺样体、扁桃体手术治疗以及针对鼻炎鼻窦炎的保守治疗。结论儿童的主要治病原因为腺样体增生、扁桃体肥大手术治疗可以取得良好疗效。
Objective To investigate the main etiology, clinical manifestations, sleep monitoring and questionnaire of childhood obstructive sleep apnea-hypopnea syndrome (OSAS). Methods All children were admitted to the hospital to fill out the questionnaire, do sleep overnight monitor. Results The main causes of OSAS in children were adenoid hyperplasia, tonsillar hypertrophy, rhinitis, sinusitis and asthma. The main clinical manifestations were snoring (100%), mouth breathing (86.3%), restless sleep (54.5% %), Arousal (5.7%), and inattention (39.7%), irritability (13.6%), children with OSAS no significant abnormal sleep structure. The treatment is mainly adenoid, tonsil surgery and conservative treatment of rhinosinusitis. Conclusion The main reason for the treatment of children with adenoid hyperplasia, tonsil hypertrophy surgery can achieve good results.