Persistence of obstructive sleep apnea syndrome in children after adenotonsillectomy

Persistence of obstructive sleep apnea syndrome in children after adenotonsillectomy
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DOI:
10.1016/j.jpeds.2006.08.067
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发表时间:
2006-12-01
影响因子:
5.1
通讯作者:
Gozal, David
Gozal, David
中科院分区:
医学2区
文献类型:
--
作者:
Tauman, Riva;Gulliver, Tanya E.;Gozal, David

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目的是研究各种危险因素对儿童阻塞性睡眠呼吸暂停综合征的相对贡献。研究儿童(n = 110;平均年龄,6.4 +/- 3.9岁)进行了两次polysomnographie评估,并进行了两次polysomnographie评估。此外,还研究了22名对照儿童。在每次多聚会评估之前,都会对过敏和家族史进行过敏和家族史。 25%的儿童患有呼吸暂停指数(Lambda HI)1和<5,而29%的儿童在术后研究中患有AHI> = 5。手术后AHI <1的受试者的频率在肥胖受试者中显着爱好(p <.05)。 lambda hi的孩子之间的比较
Objective To investigate the relative contribution of various risk factors to the surgical outcome of adenotonsillectomy for obstructive sleep apnea syndrome in children.Study design Children (n = 110; mean age, 6.4 +/- 3.9 years) underwent two polysomnographie evaluations before and after adenotonsillectomy. In addition, 22 control children were studied. History for allergy and family history of sleep-disordered breathing was taken before each polysomnographic evaluation.Results Significant changes in sleep stage percentages and sleep fragmentation were found in the postsurgery study compared with the presurgery study; 25% of the children had apnea/hypopnea index (Lambda HI) 1 and < 5, and 29% had AHI >= 5 in the postsurgery study. The frequency of subjects with AHI < 1 after surgery was significantly lover among obese subjects (P < .05). Comparison between the children who had Lambda HI