【Objective】 To study the dangerous factors in children with obstructive sleep apnea hypopnea syndrome(OSAHS),and to explore whether obesity and the tonsil and/or adenoid hypertrophy would cause obstructive sleep apnea hypopnea syndrome. 【Methods】 The body mass index(BMI) and the tonsil and adenoid size were evaluated on 182 OSAHS and 160 non-OSAHS children.All children were examined by polysomnography(PSG). 【Results】 Among OSAHS,BMI and the tonsil and adenoid size were significantly higher than the control group of children's.In addition,OSA score and apnea hypopnea index(AHI),LSaO2 showed a positive correlation.Obesity,tonsillar hypertrophy,and adenoid hypertrophy were the dangerous factors for OSAHS. 【Conclusion】 OSAHS had impact on children's quality of life seriously.It indicated that there were certain relations between pathogenetic factors and obesity,tonsillar hypertrophy and adenoid hypertrophy.we can pass from the etiology to control the occurrence of OSAHS in children.
Key words
obstructive sleep apnea hypopnea syndrome /
body mass index /
tonsil /
adenoid /
child
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References
[1] American Academy of Pediatric.Clinical practice guideline:diagnosis and management of childhood obstructive sleep apnea syndrome[J].Pediatrics,2002,109:704-712.
[2] Carroll JL.Obstructive sleep-disordered breathing in children:new controversies,new directions[J].Clin Chest Med,2003,24:261-282.
[3] Ng DK,Lam YY,Kwok KL,et al.Obstructive sleep apnoea syndrome and obesity in children[J].Hong Kong Med J,2004,10:44-48.
[4] 谭宗瑜,刘大波,俞洁,等.儿童睡眠障碍就诊原因分析(附300例报告)[J].临床耳鼻咽喉头颈外科杂志,2007,21(13):611-612.
[5] 易彩霞.1217名2~5岁儿童睡眠障碍调查及其相关因素分析[J].医学临床研究,2011,28(6):1053-1055.
[6] 许志飞,安嘉清,李豫川,等.肥胖儿童睡眠呼吸障碍与肥胖相关性调查研究[J].中国实用儿科杂志,2011,26(4):260-263.
[7] 中华耳鼻咽喉头颈外科杂志编委会,中华医学会耳鼻咽喉科学分会.儿童阻塞性睡眠呼吸暂停低通气综合征诊疗指南草案(乌鲁木齐)[J].中华耳鼻咽喉头颈外科杂志,2007,42(2):83-48.
[8] Hamasaki Uema SF,Nagata Pignatari SS,Fujita RR,et al.Assessment of cognitive learning function in children with obstructive sleep breathing disorders[J].Rev Bras Otorrinolaringol,2007,73:315-320.
[9] Shine NP,Lanniqan FJ,Coates HL,et al.Adenotonsillectomy for obstructive sleep apnea in obese children:effects on respiratory parameters and clinical outcome[J].Arch Otolaryngol Head Neck Surg,2006,132:1123-1127.
[10] O'Brien LM,Sitha S,Baur LA,et al.Obesity increases the risk for persisting obstructive sleep apnea after treatment in children[J].Int J Pediatr Otorhinolaryngol,2006,70:1555-1560.
[11] Mitchell RB,Kelly J.Behavioral changes in children with mild sleep-disordered breathing or obstructive sleep apnea after adenotonsillectomy[J].Laryngoscope,2007,117:1685-1688.
[12] Wei JL,Bond J,Mayo MS,et al.Improved behavior and sleep after adenotonsillectomy in children with sleep-disordered breathing:long-term follow-up[J].Arch Otolaryngol Head Neck Surg,2009,135:642-646.