鼾症儿童中OSAHS 患儿的临床观察.pdf

鼾症儿童中OSAHS患儿的临床观察黄群1江萍2摘要目的探讨鼾症儿童行PSG检查的必要性。方法应用PSG对162例以打鼾为主诉的患儿进行夜间连续睡眠呼吸监测,以PSG的监测结果作为诊断依据,将患儿分成阻塞性睡眠呼吸暂停低通气综合征OSAHS组及原发性打鼾PS组。监测指标AHI、鼾声指数、最低血氧饱和度LSAO2、SAO209的时间等,对各指标进行统计分析。结果162例鼾症儿童中确诊为OSAHS150例926,PS者12例74。两组患儿的年龄、性别比、体质指数BMI差异均无统计学意义,而两组患儿的AHI、鼾声指数、LSAO2、SAO209的时间的差异均有统计学意义P005。结论打鼾儿童应及早行PSG检查,以便早期诊断及治疗OSAHS,避免OSAHS的并发症产生。关键词睡眠呼吸暂停低通气综合征,阻塞性；打鼾；儿童；多导睡眠仪中图分类号R5638文献标志码A文章编号10012178120100320111203CLINICALOBSERVATIONONOBSTRUCTIVESLEEPAPNEA2HYPOPNEASYNDROMECASESINSNORINGCHILDRENHUANGQUN1JIANGPING21DEPARTMENTOFOTORHINOLARYNGOLOGY,AFFILIATEDNANJINGCHILDREN′SHOSPITALOFNANJINGMEDI2CALUNIVERSITY,NANJING,210008,CHINA；2SCHOOLOFSTOMATOLOGY,NANJINGUNIVERSITY,NANJINGSTOMATOLOGICALHOSPITALCORRESPONDINGAUTHORJIANGPINGEMAILENTJWWSINACOMABSTRACTOBJECTIVETOEXPLORETHENECESSITYOFMONITORINGPOLYSOMNOGRAPHYPSGINSNORINGCHILDRENMETHODTHEPSGWEREMONITOREDIN162CHILDRENWITHSNORINGORAPNEAACORDINGTORESULTSOFPSG,162CASESWERESEPARATEDINTOTWOGROUPSGROUPOBSTRUCTIVESLEEPAPNEAHYPOPNEASYNDROMEOSAHSANDGROUPPRIMARYSN