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目的通过对同一睡眠呼吸暂停低通气综合征(OSAHS)儿童患者在夏季和冬季不同表现的研究,探讨季节因素对儿童OSAHS的影响。方法对分别在夏季和冬季进行过PSG监测的21例儿童OSAHS的各指标数据进行分析,包括呼吸暂停/低通气指数(AHI)、平均血氧饱和度(ASaO2)、最低血氧饱和度(LSAO2)、≥3%的氧减指数(≥3%ODI)、仰卧位呼吸暂停低通气指数(supineAHI)、鼾声指数(SI)进行配对的t检验,以及鼻咽侧位片腺样体N/A值的比较,观察其在夏季和冬季的差异性。结果同一儿童OSAHS在夏季和冬季的PSG监测,在腺样体N/A值(P=0.261 2)差异无统计学意义的情况下,除ASaO2(P=0.062 2)无显著性差异外,在AHI(P=0.000 0)、LSaO2(P=0.003 1)、≥3%ODI(P=0.002 8)s、upineAHI(P=0.010 2)、鼾声指数(SI)(P=0.004 6)等指标上差异均有统计学意义。结论儿童OSAHS的临床所表现和严重程度随季节改变会有较大的变化,和成人有很大的不同。
Objective To investigate the effects of seasonal factors on OSAHS in children with OSAHS in summer and winter. Methods The data of 21 children with OSAHS, including AHI, ASaO2 and LSAO2, were analyzed in summer and winter respectively. ), 3% ODI (≥3% ODI), supine AHI and SI were paired t-test and nasopharyngeal adenoidectomy N / A The value of comparison, observed in the summer and winter differences. Results PSG monitoring of OSAHS in the same child in summer and winter showed no significant difference except for ASaO2 (P = 0.062 2), but no significant difference in N / A of adenoid (P = 0.261 2) AHI (P = 0.000 0), LSaO2 (P = 0.003 1), ≥3% ODI (P = 0.002 8) s, upineAHI (P = 0.010 2), snoring index (SI) The differences were statistically significant. Conclusion The clinical manifestations and severity of OSAHS in children may change greatly with the changes in seasons, which are quite different from those in adults.