阻塞性睡眠呼吸暂停综合征儿童的腺切除术:临床和功能结果
Cristian Locci1, Caterina Cenere1, Giovanni Sotgiu2
1Pediatric Clinic, Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy.
Journal of clinical medicine
|September 28, 2023
概括
腺切除术显著改善了儿科阻塞性睡眠呼吸暂停综合征 (OSAS) 的结果,提高了生活质量并减少了呼吸暂停事件. 然而,在某些严重病例中,残留的OSAS仍然存在,需要进行术后监测.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 呼吸系统医学 呼吸系统医学
背景情况:
- 腺切除术 (AT) 是儿科阻塞性睡眠呼吸暂停综合征 (OSAS) 的主要治疗方法.
- 研究表明,在患有OSAS的儿童中,AT可以改善行为和生活质量 (QOL).
- 剩余的OSAS可能会在AT后发生,特别是在严重的情况下.
研究的目的:
- 追溯评估AT在患有OSAS的儿童中的临床和功能结果.
- 评估AT对多睡眠学参数和QOL的影响.
- 为了确定AT后残留OSAS的流行率.
主要方法:
- 对65名患有OSAS的儿童 (2至9岁) 进行了回顾性队列研究,这些儿童接受了AT.
- 包括病史,体检,多睡眠学和OSA-18问卷.
- 在手术前和手术后对呼吸暂停-呼吸暂停指数 (AHI) 和氧和度 (SpO2) 的数据分析.
主要成果:
- AT导致AHI显著降低 (中位数13.4 / h至2.4 / h) 和SpO2中位数增加 (中位数89%至94%).
- 在AT后,OSA-18生活质量得分显著下降 (中位数为84至33).
- 在18%的儿童中观察到残留OSAS,术后OSA-18分数和AHI之间存在相关性.
结论:
- 在改善OSAS儿童的多睡眠学参数和QOL方面,AT非常有效.
- 长期的术后随访对于监测残留OSAS至关重要,特别是在严重的病例中.
- AT显著提高了儿科OSAS患者的行为结果和整体生活质量.
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