腺样体扁桃体切除术对睡眠呼吸障碍儿童氧饱和度的影响。

The effect of adenotonsillectomy on oxygen saturation in children with sleep breathing disorders.

作者信息

Arrarte Jaime, Lubianca Neto José F, Fischer Gilberto B

机构信息

Faculdade de Medicina da Universidade Federal do Rio Grande do Sul, Pos-graduate Program, Brazil.

出版信息

Int J Pediatr Otorhinolaryngol. 2007 Jun;71(6):973-8. doi: 10.1016/j.ijporl.2007.03.011. Epub 2007 Apr 24.

DOI:10.1016/j.ijporl.2007.03.011

PMID:17459490

Abstract

OBJECTIVE

To evaluate the effect of adenotonsillectomy on the oxygen saturation measures by nocturnal pulse oximetry in children with sleep breathing disorders (SBD).

METHODS

A non-controlled clinical trial was performed. Thirty-one children with suspected SBD and a clinical indication for adenotonsillectomy were recruited. All of them underwent overnight oxygen saturation monitoring before and after surgery.

RESULTS

Twenty-seven patients completed the study. The mean age was 5.2+/-1.8 years. Eighteen (66.7%) were male. The most prevalent symptoms were: snoring (100%), respiratory pauses (96.8%), nocturnal mouth breathing (96.8%), restless sleep (80%) and drooling (74.1%). Twenty-three children (85.2%) presented grade 3 or 4 tonsillar hyperplasia. There was a significant improvement in the postoperative oxygen desaturation index (ODI) (0.65; 0.5-1.3) compared with the preoperative index (1.63; 1.1-2.4) (p<0.001).

CONCLUSION

Adenotonsillectomy improved the oxygen saturation measures by nocturnal pulse oximetry in children with sleep breathing disorders.

摘要

目的

评估腺样体扁桃体切除术对睡眠呼吸障碍（SBD）患儿夜间脉搏血氧饱和度测量结果的影响。

方法

进行了一项非对照临床试验。招募了31名疑似SBD且有腺样体扁桃体切除术临床指征的儿童。他们均在手术前后接受了夜间血氧饱和度监测。

结果

27名患者完成了研究。平均年龄为5.2±1.8岁。18名（66.7%）为男性。最常见的症状为：打鼾（100%）、呼吸暂停（96.8%）、夜间口呼吸（96.8%）、睡眠不安（80%）和流口水（74.1%）。23名儿童（85.2%）呈现3级或4级扁桃体增生。与术前指标（1.63；1.1 - 2.4）相比，术后氧饱和度下降指数（ODI）有显著改善（0.65；0.5 - 1.3）（p<0.001）。