| 励韶珺.儿童阻塞性睡眠呼吸暂停综合征81例多导睡眠监测分析[J].浙江中西医结合杂志,2016,26(4): |
| 儿童阻塞性睡眠呼吸暂停综合征81例多导睡眠监测分析 |
| 81 Cases of Analysis of Polysomnography Obstructive Sleep Apnea Hypopnea Syndrome in ChildrenLI Shaojun. Department of Pediatric,Hangzhou Traditional Chinese Medical Hospital,Hangzhou 310007,China |
| 投稿时间：2015-09-21 修订日期：2015-10-17 |
| DOI： |
| 中文关键词: 睡眠呼吸暂停,阻塞性 儿童 多导睡眠描记术 诊断 |
| 英文关键词: |
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| 中文摘要: |
| 目的 探讨多导睡眠(PSG)监测儿童睡眠呼吸暂停低通气综合征(OSAHS)的诊断价值。方法 回顾性分析2013年8月至2014年8月在杭州市中医院儿科就诊的81例OSAHS儿童的多导睡眠监测,按呼吸暂停低通气指数( AHI)及阻塞性呼吸暂停指数(OAI),分为轻、中、重3组,观察比较3组临床症状、病因、平均血氧饱和度(SaO2)、最低SaO2(LSaO2)、氧减指数(ODI)、体重指数(BMI)。结果 3组SaO2比较,轻度组为97.4 (96.6,98.0)%,中度组为96.3(95.4,97.5)%,重度组为96.7(95.5,97.2)%,轻度组与中度组,轻度组与重度组的差异均有统计学意义(P<0.05)；LSaO2比较,轻度组为85(78,89)%,重度组为78(72,83)%,差异有统计学意义(P<0.05)；ODI比较,轻度组2.7(1.2,3.9)次/h,中度组4.9(3.2,8.7)次/h,重度组19.0(11.9,25.8)次/h,3组间差异均有统计学意义(P<0.05)；临床症状、病因、BMI比较差异均无统计学意义( P>0.05)。结论 氧饱和度相关指标在一定程度上能反映儿童OSAHS严重程度,而ODI对判断儿童OSAHS严重程度有更好的临床指导意义。 |
| 英文摘要: |
| ［］ Objective To investigate the diagnostic value of polysomnography ( PSG) in children obstructive sleep apnea hypopnea syndrome(OSAHS) in children． Methods The polysomnographic data of 81 children were analyzed retrospectively．According to the apnea-hypopnea index (AHI) and obstructive apnea index (OAI),they were divided into mild group,moderate group and severe group. The clinical symptoms, causes of disease, average SaO2,lowest SaO2,ODI and BMI were observed and compared. Results The SaO2 of mild group [97.4 (96.6,98.0)%] was significantly higher than that of moderate group [96.3(95.4,97.5)%] and severe group [96.7(95.5,97.2)%] (P<0.05).The lowest SaO2 of severe group [78(72,83)%] was significantly lower than that of mild group [85(78,89)%] (P<0.05). The ODI were compared,the data were distributed as mild group [2.7(1.2,3.9)]0.05)． Conclusion The indexes related to SaO2 reflect the severity of OSAHS to in some degree,but ODI is more reliable in diagnosing the severity of OSAHS in children． |
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