Pulse-oximetery is useful in determining the indications for adeno-tonsillectomy in pediatric steep-disordered breathing
Pulse-oximetery is useful in determining the indications for adeno-tonsillectomy in pediatric steep-disordered breathing
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DOI：
10.1016/j.ijporl.2006.08.009
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发表时间：
2007-01-01
影响因子：
1.5
通讯作者：
Ogawa, Kaoru
中科院分区：
文献类型：
--
作者：
Saito, Hideyuki;Araki, Kouji;Ogawa, Kaoru
目的：虽然儿童陡峭呼吸障碍（SDB）的一线治疗方法是腺扁桃体切除术，但该手术的适应症尚未明确。我们调查了脉搏血氧测定法是否有助于确定儿科 SDB 的可选治疗方式。方法：对 232 名出现打鼾和喘气的儿童进行了陡峭期间的血氧饱和度水平检查。其中，86 人接受了腺扁桃体切除术，并在手术前和手术后进行了评估。我们还检查了 25 名健康儿童作为对照。结果：在健康儿童中观察到很少的饱和度下降。患者术前和术后氧饱和度水平的差异与术前水平密切相关。我们检查了反应手术特征并得出结论，氧饱和指数为4%或以上（OD14）超过1.5和/或ODl3超过3.5的儿童应该接受手术。结论：脉搏血氧测定法是有用的。确定腺扁桃体切除术的适应症。 (C) 2006 Elsevier Ireland Ltd. 保留所有权利。
Objective: Although first line therapy of steep-disordered breathing (SDB) in children is adeno-tonsillectomy, the indications for this operation have not yet been clearly established. We investigated whether pulse-oximetry is useful for determining the optional treatment modality for pediatric SDB.Method: Two hundred and thirty-two children presenting with snoring and gasping had their oxygen saturation levels examined during steep. Among them, 86 underwent on adeno-tonsillectomy and were evaluated pre- and post-surgery. We also examined 25 healthy children as controls.Results: Little desaturation was observed in healthy children. The difference in oxygen saturation levels of the patients between pre- and post-surgery was closely correlated with the pre-surgery levels. We examined the reaction operation characteristics and concluded that children with an oxygen desaturation index of 4% or more (OD14) of more than 1.5 and/or ODl3 of more than 3.5 should undergo surgery.Conclusion: Pulse-oximetry is useful. in determining the indications for adeno-tonsillectomy. (C) 2006 Elsevier Ireland Ltd. All rights reserved.