Leach J, Olson J, Hermann J, Manning S
Department of Otolaryngology, University of Texas Southwestern Medical School, Dallas 75235.
Arch Otolaryngol Head Neck Surg. 1992 Jul;118(7):741-4. doi: 10.1001/archotol.1992.01880070071013.
A retrospective study was conducted to determine which types of children might have polysomnographic findings that are most compatible with obstructive sleep apnea (OSA). The charts of 93 patients who were aged 18 months to 12 years were examined. All 93 patients had symptoms that were initially suggestive of OSA, and they underwent polysomnography. The types of presenting symptoms and associated illnesses were noted. Physical findings, including height, weight, and tonsil size, were examined. Of 93 patients with symptoms that were suggestive of OSA, 34 met sleep study criteria for OSA. In 44 patients, OSA was not demonstrated, and 15 patients had other results. On the basis of age, sex, and symptoms, no significant differences could be found between the group with OSA and the group with normal polysomnographic findings. Cor pulmonale, tonsil hypertrophy, and failure to thrive were associated with OSA. Surprisingly, obesity was not significantly associated with OSA.
开展了一项回顾性研究，以确定哪些类型的儿童可能具有与阻塞性睡眠呼吸暂停（OSA）最相符的多导睡眠图检查结果。对93例年龄在18个月至12岁的患者病历进行了检查。所有93例患者最初都有提示OSA的症状，并接受了多导睡眠图检查。记录了出现的症状类型和相关疾病。检查了包括身高、体重和扁桃体大小在内的体格检查结果。在93例有提示OSA症状的患者中，34例符合OSA的睡眠研究标准。44例患者未证实有OSA，15例患者有其他结果。基于年龄、性别和症状，OSA组与多导睡眠图检查结果正常的组之间未发现显著差异。肺心病、扁桃体肥大和发育不良与OSA有关。令人惊讶的是，肥胖与OSA没有显著关联。
