Long-term follow-up of obstructive sleep apnea syndrome following surgery in children and adults.
Long-term follow-up of obstructive sleep apnea syndrome following surgery in children and adults.
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儿童和成人手术后阻塞性睡眠呼吸暂停综合征的长期随访。
DOI：
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发表时间：
2000
影响因子：
2.2
通讯作者：
K. Ikeda
中科院分区：
文献类型：
--
作者：
M. Sato;M. Suzuki;T. Oshima;M. Ogura;A. Shimomura;H. Suzuki;T. Takasaka;K. Ikeda
阻塞性睡眠呼吸暂停综合征 (OSAS) 的特点是睡眠期间反复出现呼吸暂停，导致反复低氧血症。本研究回顾性分析了 OSAS 患者在相对长期随访中的主观和客观评估。从1986年2月到1996年8月，53名患者因OSAS和打鼾接受了手术治疗。 53 名患者中的 37 名（27 名男性和 10 名女性）完成了问卷调查，并对 6 名患者进行了术后睡眠研究。在 20 名儿童（<15 岁）中，打鼾、睡眠呼吸暂停和白天嗜睡在 12、19 和 16 名儿童中完全消失，在 8、1 和 4 名儿童中分别得到改善。这些发现证实，儿童扁桃体切除术和/或腺样体切除术可能是首选治疗方法。在 17 名成人中，打鼾、睡眠呼吸暂停和白天嗜睡分别在 2、5 和 8 名成人中完全消失，在 11、8 和 7 名成人中有所改善，在 4、4 和 1 名成人中没有变化。成人的呼吸暂停指数在术后早期和晚期均显着下降。这些结果表明，如果术前对气道塌陷的定位进行准确诊断并进行仔细的长期随访，手术对于成年患者来说是一种令人满意的选择。
Obstructive sleep apnea syndrome (OSAS) is characterized by recurrent apneas during sleep, resulting in repetitive hypoxemia. The present study retrospectively analyzed subjective and objective assessments of the patients with OSAS in a relatively long-term follow-up. From February 1986 to August 1996, 53 patients received surgical treatment for OSAS and snoring. Thirty-seven (27 males and 10 females) out of 53 patients completed the questionnaire and postoperative sleep study was obtained in 6 patients. In 20 children (<15 years), snoring, sleep apnea, and daytime sleepiness completely disappeared in 12, 19, and 16, and improved in 8, 1, and 4, respectively. These findings confirm that tonsillectomy and/or adenoidectomy in children may be the first selection for treatment. In 17 adults, snoring, sleep apnea, and daytime sleepiness completely disappeared in 2, 5, and 8, improved in 11, 8, and 7, and was unchanged in 4, 4, and 1, respectively. The apnea index in adults was significantly decreased in both early and late postoperative periods. These results suggest that surgery is a satisfactory alternative for adult patients if performed accurate preoperative diagnosis of the localization of the airway collapse and careful long-term follow-up.
DOI：
10.1164/ajrccm/147.4.887
发表时间：
1993-04-01
期刊：
AMERICAN REVIEW OF RESPIRATORY DISEASE
影响因子：
--
作者：
KRIBBS, NB;PACK, AI;DINGES, DF
通讯作者：
DINGES, DF