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
中科院分区:
文献类型:
--
作者:
Tauman, Riva;Gulliver, Tanya E.;Gozal, David
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