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目的提高对儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的认识。方法对63例OSAHS患儿临床资料作回顾性分析。结果有40例(63.5%)患儿存在腺样体和/或扁桃体肥大。患儿呼吸暂停低通气指数(AHI)为26.5±6.8次/h,最低血氧饱和度LSaO2<92%。经对因治疗和中药方剂治疗,13例无效者经微创手术治疗,近期和远期效果均较好,血气分析PaO2、PaCO2改善。结论对儿童SOAHS的诊断应考虑儿童的实际情况。多数患儿可经内科治疗改善,无效者可作微创手术治疗。
Objective To improve the understanding of childhood obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods The clinical data of 63 OSAHS children were retrospectively analyzed. Results Forty cases (63.5%) had adenoid and / or tonsillar hypertrophy. Children with apnea-hypopnea index (AHI) of 26.5 ± 6.8 times / h, the lowest oxygen saturation LSaO2 <92%. After treatment and traditional Chinese medicine prescriptions, 13 cases of ineffective by minimally invasive surgery, the short-term and long-term results were better, blood gas analysis PaO2, PaCO2 improved. Conclusion The diagnosis of children with SOAHS should take into account the actual situation of children. Most children can be cured by medical treatment, ineffective for minimally invasive surgery.