Effect of adenotonsillectomy on sleep architecture in pediatric obstructive sleep apnea syndrome.

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Effect of adenotonsillectomy on sleep architecture in pediatric obstructive sleep apnea syndrome.

Zhou Lifeng,Liu Dabo,Zhong Jianwen,et al.

Department of Otorhinolaryngology,Guangzhou Children's Hospital,Guangzhou 510120，China

Received:2005-10-25 Revised:2006-01-05 Online:2006-04-06 Published:2006-04-06

手术治疗对阻塞性睡眠呼吸暂停综合征患儿睡眠结构的影响

周丽枫，刘大波，钟建文，黄振云，陈倩，罗绍鹏

广州市儿童医院耳鼻咽喉科，广东广州510120

Abstract

Abstract: AbstractObjectiveTo evaluate change of sleep architecture in children with obstructive sleep apnea syndrome (OSAS) before and after adenoidectomy and/or tonsillectomy (A&T). MethodsFrom Dec.1998 to Oct.2003,polysomnography (PSG) was performed on 115 children with pediatric OSAS 1 or 2 days before and 3 months after A&T.Various polygraphic parameters to describe the macrostructure of sleep and the microstructure of sleep were analyzed. ResultsNo significant difference was observed in the macrostructure of sleep before and after A&T,however,OSAS had higher Arousals index(62±04) before than after A&T (27±02),t=725,P<001. ConclusionA&T can influence the microstructure of sleep.Therefore the improvement of the microstructure of sleep is the physiopathological basis of clinical relief after A&T.

Key words: Sleep architecture, Children

摘要： 目的观察扁桃体和(或)腺样体切除术后阻塞性睡眠呼吸暂停综合征(OSAS)儿童睡眠结构的改变，探讨OSAS儿童术后症状改善的病理生理学基础。方法对1998年12月至2003年10月广州市儿童医院收治的115例OSAS儿童进行扁桃体和(或)腺样体切除，并分别于术前及术后3个月于夜间睡眠时进行多导睡眠监测。比较手术前后宏观睡眠结构和微观睡眠结构的变化。结果手术治疗对OSAS儿童宏观睡眠结构无明显改善。微观睡眠结构：术后觉醒指数(27±02)较术前(62±04)明显减小(t=725,P<001)。结论扁桃体和(或)腺样体切除对OSAS儿童睡眠结构的改善主要体现在微观睡眠结构上，即觉醒指数明显减小。因此微观睡眠结构的改善应该是OSAS儿童术后症状改善的病理生理学基础。

关键词: 阻塞性睡眠呼吸暂停综合征, 睡眠结构, 儿童

Zhou Lifeng,Liu Dabo,Zhong Jianwen. Effect of adenotonsillectomy on sleep architecture in pediatric obstructive sleep apnea syndrome.[J]. .

周丽枫,刘大波,钟建文,黄振云,陈倩,罗绍鹏. 手术治疗对阻塞性睡眠呼吸暂停综合征患儿睡眠结构的影响[J]. 中国实用儿科杂志.

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