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目的 探讨儿童阻塞性睡眠呼吸障碍 (OSRD)的病因和治疗方法。方法 应用症状计分法 ,观察 71例行扁桃体切除和 (或 )腺样体刮除儿童术前、术后睡眠过程中睡眠呼吸障碍症状改善情况。结果 OSRD儿童均有不同程度的扁桃体和 (或 )腺样体肥大 ,单纯扁桃体肥大儿童OSDR症状计分为 :5 .6 8± 1.4 6 ,扁桃体肥大伴有腺样体肥大者计分为 6 .82± 1.33,两者比较有显著性差异 (P <0 .0 5 ) ;扁桃体切除和 (或 )腺样体刮除术后 4周两组的症状计分分别为 1.5 9± 0 .4 3和 1.6 3± 0 .4 1,两组术中、术后症状计分均有显著性差异 (P <0 .0 1)。结论 扁桃体和腺样体肥大为儿童OSDR的主要病因 ,两者同时肥大者症状更加明显 ;扁桃体切除和 (或 )腺样体刮除是治疗儿童OSRD有效方法。
Objective To investigate the etiology and treatment of childhood obstructive sleep apnea syndrome (OSRD). Methods Symptom score method was used to observe the improvement of sleep apnea symptoms during preoperative and postoperative sleep in 71 children undergoing tonsillectomy and / or adenoid curettage. Results Children with OSRD had varying degrees of tonsil and / or adenoid hypertrophy. The OSDR score of children with tonsil hypertrophy was 5.66 ± 1.4 6, and tonsil hypertrophy with adenoid hypertrophy scored 6. 82 ± 1.33, there was a significant difference between the two groups (P <0.05). Symptom scores of the two groups were 1.59 ± 0.43 after tonsillectomy and / or adenoid curettage And 1.6 3 ± 0. 4 1 respectively. The scores of intraoperative and postoperative symptoms were significantly different between the two groups (P <0.01). Conclusions Tonsils and adenoid hypertrophy are the major causes of OSDR in children, and the symptoms of both hypertrophy are more obvious at the same time. Tonsillectomy and / or adenoid curettage is an effective treatment for children with OSRD.