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目的探讨手术方式解除鼻、咽部阻塞引发的儿童阻塞性睡眠呼吸暂停低通气综合征的疗效,术前、术后PSG测定。方法 78例腺样体肥厚、腭扁桃体肥大及鼻道阻塞儿童进行手术前全夜PSG检测,术后6个月～1年全夜复查PSG并对呼吸紊乱相关指标及临床症状改善情况进行综合分析。结果术前、术后呼吸紊乱指数(AHI)、最低血氧饱和度(LSaO2)、TS90%差异有显著统计学意义(P<0.05)。结论 PSG能反映呼吸事件、鼻咽部轴位及矢状位CT扫描及术中鼻内镜反映鼻咽部阻塞情况、腺样体增生情况。手术能较好解除鼻腔及鼻咽部阻塞。
Objective To investigate the curative effect of surgical method on relieving obstructive sleep apnea-hypopnea syndrome induced by obstruction of nose and pharynx in children and preoperative and postoperative PSG. Methods 78 cases of adenoid hypertrophy, tonsil tonsil hypertrophy and nasal obstruction in children with preoperative PSG detection of the whole night, 6 months to 1 year after the review of PSG and related indicators of respiratory disorders and clinical symptoms were comprehensively analyzed . Results The preoperative and postoperative respiratory disturbance index (AHI), lowest oxygen saturation (LSaO2) and TS90% were significantly different (P <0.05). Conclusion PSG can reflect the respiratory events, nasopharyngeal axial and sagittal CT scan and intraoperative endoscopic nasopharyngeal obstruction, adenoid hyperplasia. Surgery can better relieve nasal and nasopharyngeal obstruction.