Capper R, Canter R J
Department of Otolaryngology/Head and Neck Surgery, University Hospital, Queen's Medical Centre, Nottingham, UK.
Clin Otolaryngol Allied Sci. 2001 Feb;26(1):43-6. doi: 10.1046/j.1365-2273.2001.00426.x.
Poor quality sleep and sleep-related hypoxia have been described in children awaiting (adeno)tonsillectomy even in the absence of a history which would suggest such problems. However, restless sleep has also been commonly reported in children from a normal population. It has not been shown whether an increasing frequency of tonsillitis is associated with deterioration in sleep quality. This study directly compares sleep quality in three groups of children: (1) a normal population; (2) children from a normal population who have tonsillitis but are not awaiting tonsillectomy; and (3) children awaiting tonsillectomy for recurrent tonsillitis. A questionnaire was completed by the parents and the answers compared using the chi2 and Spearman's rank correlation tests. The results show that children awaiting tonsillectomy have poorer sleep quality than their normal peers. However, there is no dose-response effect between deteriorating sleep quality and increasing frequency of tonsillitis.
即使没有提示此类问题的病史，等待（腺样体）扁桃体切除术的儿童也存在睡眠质量差和与睡眠相关的缺氧情况。然而，正常人群中的儿童也普遍报告有睡眠不安。目前尚未表明扁桃体炎发作频率增加是否与睡眠质量恶化有关。本研究直接比较了三组儿童的睡眠质量：（1）正常人群；（2）患有扁桃体炎但未等待扁桃体切除术的正常人群儿童；（3）因复发性扁桃体炎等待扁桃体切除术的儿童。父母填写了一份问卷，并使用卡方检验和斯皮尔曼等级相关检验对答案进行比较。结果显示，等待扁桃体切除术的儿童睡眠质量比正常同龄人差。然而，睡眠质量恶化与扁桃体炎发作频率增加之间不存在剂量反应效应。
