睡眠呼吸障碍患儿手术前后生活质量分析
- 刘丹
作者信息
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Investigation of life quality in children with obstructive sleep disorders before and after adenotonsillectomy.
- LIU Dan.
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文章历史
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摘要
目的 探讨儿童睡眠呼吸障碍行腺样体和/或扁桃体切除术前后生活质量的改善情况。 方法 采用前瞻性对照研究的方法,以儿童睡眠呼吸障碍疾病特异性生活质量调查表(OSA-18)(disease-specific quality of life for children with obstructive sleep apnea 18 items survey,OSA-18)为工具,对经多导睡眠监测确诊的61例阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS )患儿手术前后生活质量进行调查。 结果 OSA-18调查显示,经手术治疗后患儿术后3~6个月的生活质量均得到明显提高(P<0.01),新增睡眠问题5个项目也得到明显提高(P<0.01)。 结论 OSAHS儿童行手术治疗后临床症状、生活质量均得到明显改善。OSA-18调查量表可用作OSAHS患儿临床诊断及术后随访的辅助工具。
Abstract
Objective To evaluate the improvement in quality of life(QOL)for children before and after adenoidectomy and tonsillectomy. Method In a prospective controlled trial,questionnaire of disease-specific quality of life for children with obstructive sleep apnea 18 items survey(OSA-18) was used to evaluate QOL in 61 children with obstructive sleep apnea hypoprea syndrome (OSAHS) diagnosed by polysomnography (PSG) before and after surgical operation. Result OSA-18 investigation showed,the 18 items and 5 items in additional sleep problem had been markedly improved within 3~6 months after surgery. Conclusions The clinical symptoms of children with OSAHS diagnosed by PSG within 3~6months after surgery have been evidently improved,also quality of life markedly improved.Adenotonsillectomy can greatly improve the quality of life of children with OSAHS.OSA-18 can be valuable assessment tool in clinical diagnosis and treatment follow up.
关键词
睡眠呼吸障碍 / 儿童 / 生活质量 / 多导睡眠监测 / 腺样体扁桃体切除术
Key words
sleep-disordered breathing / children / quality of life / polysomnograpy / adenotonsillectomy
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参考文献
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[4] Marcus CL,Carroll JL,Koemer CB,et al.Deterninants of growth in children with the obstructive sleep apnea syndrome[J].J Pediatr,1994,125(4):556-562.
[5] American Thoracic Society.Cardiorespiratory sleep studies in chidren.Establishment of nomative data and polysomnographic predictors of morbidit[J].Am J Respir Crit Care Med,1999,160(4):381-1387.
[6] Goldstein NA,Fatima M,Campbell TF,et al.Child behavior and quality of life before and after tonsillectomy and adenoidectomy[J].Arch Otolaryngol Head Neck Surg,2002,128:770-775.
[7] 王振英,邹华,蔡谦,等.阻塞性睡眠呼吸暂停低通气综合征患儿手术前后生活质量调查[J].中山大学学报:医学科学版,2008,29(3S):254-258.
[8] Chervin RD,Hedger K,Dillon JE,et al.Pediatric sleep questionnaire(PSQ):validity and reliability of scales for sleep-disordered breathing,snoring,sleepiness,and behavioral problems[J].Sleep Med,2000,1(1):21-32.
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