手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征临床疗效观察

目的:观察手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的手术治疗方法及临床效果,为临床治疗提供依据。方法:选取我院2010年2月~2013年1月期间收治的儿童阻塞性睡眠呼吸暂停低通气综合征患者56例做研究对象,对患儿的手术治疗方法及手术前后呼吸暂停指数、最低血氧饱和度及呼吸暂停低通气指数平均值进行记录和分析,比较其临床疗效情况。结果:三组患儿术后呼吸暂停指数、伴最低血氧饱和度、呼吸暂停低通气指数与术前比较,差异明显具有统计学意义,术后优于术前。中、重度鼻咽气道狭窄程度比较,术后较术前疗效显著,差异明显具有统计学意义(P0.05)。结论:儿童阻塞性睡眠呼吸暂停低通气综合征手术后呼吸暂停指数、伴最低血氧饱和度、呼吸暂停低通气指数得到显著改善,是治疗最佳方案,建议推广应用。

Operation Treatment of Pediatric Obstructive Sleep Apnea HypopneaSyndrome Clinical Observation

Objective:To observe the effect of operation treatment of pediatric obstructive sleep apnea hypopnea syndrome (OSAHS)and the clinical effect of the operation method of treatment, and provide the basis for clinical therapy.Methods:Selected in our hospitalfrom 2010 February~2013 year in January during the period of children with obstructive sleep apnea hypopnea syndrome in 56 patientsbefore and after operation as the research object, methods of treatment and operation on children with apnea index, the lowest oxygensaturation and apnea-hypopnea index average values were recorded and analyzed, compared the efficacy of the situation.Results:The apnea index, with the lowest oxygen saturation, apnea hypopnea index before and after treatment were compared between the threegroups after operation, difference has statistical significance, after operation than before operation. In comparison, severe nasopharyngealairway stenosis after operation than before operation, obvious curative effect, obvious difference was statistically significant (P<0.05).Conclusion:Children with obstructive sleep apnea hypopnea syndrome after operation apnea index, with the lowest oxygen saturation,apnea hypopnea index has been significantly improved, is the treatment of the best solution, application.