脉搏血氧饱和度测定法在确定小儿睡眠呼吸障碍行腺样体扁桃体切除术的指征方面很有用。
Pulse-oximetery is useful in determining the indications for adeno-tonsillectomy in pediatric sleep-disordered breathing.
作者信息
Saito Hideyuki, Araki Kouji, Ozawa Hiroyuki, Mizutari Kunio, Inagaki Kouji, Habu Noboru, Yamashita Taku, Fujii Ryouichi, Miyazaki Soichiro, Ogawa Kaoru
机构信息
Department of Otorhinolaryngology, Keio University School of Medicine, 160-8582, 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan.
出版信息
Int J Pediatr Otorhinolaryngol. 2007 Jan;71(1):1-6. doi: 10.1016/j.ijporl.2006.08.009. Epub 2006 Sep 25.
OBJECTIVE
Although first line therapy of sleep-disordered breathing (SDB) in children is adeno-tonsillectomy, the indications for this operation have not yet been clearly established. We investigated whether pulse-oximetry is useful for determining the optional treatment modality for pediatric SDB.
METHOD
Two hundred and thirty-two children presenting with snoring and gasping had their oxygen saturation levels examined during sleep. Among them, 86 underwent on adeno-tonsillectomy and were evaluated pre- and post-surgery. We also examined 25 healthy children as controls.
RESULTS
Little desaturation was observed in healthy children. The difference in oxygen saturation levels of the patients between pre- and post-surgery was closely correlated with the pre-surgery levels. We examined the reaction operation characteristics and concluded that children with an oxygen desaturation index of 4% or more (ODI4) of more than 1.5 and/or ODI3 of more than 3.5 should undergo surgery.
CONCLUSION
Pulse-oximetry is useful in determining the indications for adeno-tonsillectomy.
目的
尽管儿童睡眠呼吸障碍（SDB）的一线治疗方法是腺样体扁桃体切除术，但该手术的指征尚未明确确立。我们研究了脉搏血氧饱和度测定法是否有助于确定小儿SDB的最佳治疗方式。
方法
对232名有打鼾和喘息症状的儿童在睡眠期间进行血氧饱和度水平检测。其中，86名接受了腺样体扁桃体切除术，并在手术前后进行了评估。我们还检查了25名健康儿童作为对照。
结果
健康儿童中未观察到明显的血氧饱和度下降。患者手术前后血氧饱和度水平的差异与术前水平密切相关。我们检查了反应手术特征，并得出结论，血氧饱和度下降指数（ODI4）大于1.5且/或ODI3大于3.5的儿童应接受手术。
结论
脉搏血氧饱和度测定法有助于确定腺样体扁桃体切除术的指征。
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