Sleep disordered breathing: Effects of adenotonsillectomy on behaviour and psychological functioning
Sleep disordered breathing: Effects of adenotonsillectomy on behaviour and psychological functioning
复制标题
DOI：
10.1007/bf02115629
复制
发表时间：
1996-01-01
影响因子：
3.6
通讯作者：
Stradling, JR
中科院分区：
文献类型：
--
作者：
Ali, NJ;Pitson, D;Stradling, JR
通过问卷调查和夜间睡眠监测对6岁及以上的腺扁桃体切除术等待名单上的儿童进行筛选，确定12名中度睡眠和呼吸障碍（SBD）组。根据年龄和性别，他们与11名有类似打鼾和睡眠障碍病史但在监测时没有明显睡眠和呼吸问题的儿童（打鼾组）和一组10名儿童（其中大多数接受了无关的手术治疗）相匹配。所有患儿在手术前及手术后3-6个月进行研究。术前，SBD组和打鼾组的不宁睡眠明显多于对照组。与其他两组相比，SBD组的血氧饱和度也明显下降了4%。手术后，三组之间不再有任何显著差异。在腺扁桃体切除术后，SBD组在父母Conners量表上的攻击性、注意力不集中和多动显著减少，在连续表现测试上的警惕性显著改善。打鼾组也比术前表现出更少的多动行为和更好的警觉性。对照组的行为和表现没有明显变化。然后，任何一组在匹配熟悉人物测试中的表现都没有明显的变化。结论儿童轻中度睡眠呼吸障碍的缓解与行为和功能的改善有关。我们确认先前的研究表明，睡眠呼吸障碍和儿童日间问题之间的关系是因果关系。
Children on the adenotonsillectomy waiting list aged 6 years or more were screened by questionnaire and overnight sleep monitoring to identify 12 with a moderate sleep and breathing disorder (SBD) group. They were matched by age and sex with 11 children who had a similar history of snoring and sleep disturbance but without an obvious sleep and breathing problem when monitored (snorer group) and also with a group of ten children most of whom were refered for an unrelated surgical procedure (control group). All children were studied before and 3-6 months after surgery. Pre-operatively the SBD and snorer groups both had significantly more restless sleep than the control group. The SBD group also had significantly more (> 4%) dips in oxygen saturation than the other two groups. After surgery there were no longer any significant differences between the three groups. After adenotonsillectomy the SBD group showed a significant reduction in aggression, inattention and hyperactivity on the parent Conners scale, and an improvement in vigilance on the Continuous Performance Test. The snorer group also improved showing less hyperactive behaviour than pre-operatively and better vigilance. The control groups's behaviour and performance did not change significantly. Then were no significant changes in the performance of the Matching Familiar Figures Test in any of the groups.Conclusion Relief of mild to moderate sleep and breathing disorders in children is associated with improved behaviour and functioning. We confirm previous work which suggests that the relation between sleep disordered breathing and daytime problems in children is a causal one.