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 disordered breathing.
作者信息
Arrarte Jaime Luís Freitas, Lubianca Neto José Faibes, Fischer Gilberto Bueno
机构信息
Federal University of Rio Grande do Sul, School of Medicine, Porto Alegre, RS, Brazil.
出版信息
J Bras Pneumol. 2007 Jan-Feb;33(1):62-8. doi: 10.1590/s1806-37132007000100013.
OBJECTIVE
To evaluate the effect of adenotonsillectomy on oxygen saturation measured through nocturnal pulse oximetry in children with sleep disordered breathing.
METHODS
A pre- and post-intervention study was carried out using nocturnal pulse oximetry. The study involved 31 children who were suspected of having sleep disordered breathing and had been referred for adenotonsillectomy.
RESULTS
A total of 27 children completed the study. The mean age was 5.2 +/- 1.8 years, and 18 (66.7%) of them were male. Upon physical examination, 23 (85.2%) of the children presented class III or class IV hyperplasia of the palatine tonsils. There was significant improvement in the post-operative period over the pre-operative period in terms of the oxygen desaturation rate (OR = 0.65; 95% CI: 0.5-1.3 vs. OR = 1.63; 95% CI: 1.1-2.4; p < 0.001).
CONCLUSION
Adenotonsillectomy significantly improved oxygen saturation, as measured through nocturnal pulse oximetry, in children with sleep disordered breathing.
目的
评估腺样体扁桃体切除术对睡眠呼吸障碍儿童夜间脉搏血氧饱和度的影响。
方法
采用夜间脉搏血氧饱和度监测进行干预前后研究。该研究纳入了31名疑似睡眠呼吸障碍并被转诊接受腺样体扁桃体切除术的儿童。
结果
共有27名儿童完成了研究。平均年龄为5.2±1.8岁，其中18名（66.7%）为男性。体格检查发现，23名（85.2%）儿童出现Ⅲ级或Ⅳ级腭扁桃体增生。术后期间的氧饱和度下降率较术前有显著改善（OR = 0.65；95%CI：0.5 - 1.3，而术前OR = 1.63；95%CI：1.1 - 2.4；p < 0.001）。
结论
腺样体扁桃体切除术显著改善了睡眠呼吸障碍儿童夜间脉搏血氧饱和度监测测得的血氧饱和度。
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