de Lima Júnior José Mário, da Silva Viviane Carvalho, de Freitas Marcos Rabelo
Medical doctor, otorhinolaryngology resident, Otorhinolaryngology Unit, Hospital Universitário Walter Cantídio HUWC./Universidade Federal do Ceará - UFC.
Master's degree, assisting physician, Otorhinolaryngology Unit, HUWC/UFC.
Braz J Otorhinolaryngol. 2008 Sep-Oct;74(5):718-724. doi: 10.1016/S1808-8694(15)31382-3.
Obstructive Sleep Disorders (OSD) affect mostly the pediatric population. Within this group, its main etiology is adenotonsillar hyperplasia, being adenoidectomy or adenotonsillectomy the best treatment option for quality of life improvement.
To asses quality of life of children with OSD after adenoidectomy/adenotonsillectomy.
A prospective study was carried out with 48 children, between 2 and 11 years, with clinical manifestations of OSD and obstructive adenotonsillar hyperplasia. The OSA18 questionnaire was answered by the parents to evaluate their children's quality of life before surgery; at about thirty days and at least eleven months after the procedure. A higher score meant a worse quality of life.
Before surgery, the average OSA18 score was 82.83(SD=12.57), with an average global score for quality of life of 6.04(SD=1.66). Within thirty days after surgery, the average OSA18 score was 34.3 (SD=9.95) with an average global score of 9.6(SD=0.81), both showing significant reduction (p< 0.001). Thirty-four children (70.83%) were re-evaluated between 11 and 30 months (average=16.85; SD=5.16). The average OSA18 score was 35.44 (SD=19.95) with an average global score of 9.28 (SD=1.78). The postoperative evaluations weren't significantly different.
surgery improves the quality of life of children with OSD, and such improvement maintains for the long run.
阻塞性睡眠障碍（OSD）主要影响儿童群体。在这一群体中，其主要病因是腺样体扁桃体增生，腺样体切除术或腺样体扁桃体切除术是改善生活质量的最佳治疗选择。
评估腺样体切除术/腺样体扁桃体切除术后OSD患儿的生活质量。
对48名2至11岁有OSD临床表现和阻塞性腺样体扁桃体增生的儿童进行了一项前瞻性研究。父母填写OSA18问卷以评估其孩子术前、术后约30天及至少11个月后的生活质量。分数越高意味着生活质量越差。
术前，OSA18平均分数为82.83（标准差=12.57），生活质量总体平均分数为6.04（标准差=1.66）。术后30天内，OSA18平均分数为34.3（标准差=9.95），总体平均分数为9.6（标准差=0.81），两者均显著降低（p<0.001）。34名儿童（70.83%）在11至30个月之间接受了重新评估（平均=16.85；标准差=5.16）。OSA18平均分数为35.44（标准差=19.95），总体平均分数为9.28（标准差=1.78）。术后评估无显著差异。
手术改善了OSD患儿的生活质量，且这种改善长期保持。
