Stradling J R, Thomas G, Warley A R, Williams P, Freeland A
Osler Chest Unit, Churchill Hospital, Oxford, UK.
Lancet. 1990 Feb 3;335(8684):249-53. doi: 10.1016/0140-6736(90)90068-g.
61 snoring children selected for adenotonsillectomy, mainly for recurrent tonsillitis, were compared with a matched group of 31 healthy children for symptoms of sleep apnoea, extent of sleep hypoxaemia, and amount of sleep disturbance. The studies were repeated six months postoperatively, and after six months in the healthy children. Preoperatively, 61% of the children had degrees of sleep hypoxaemia above normal and 65% had abnormally disturbed sleep. A questionnaire administered to the parents about their children showed abnormal patterns of answers about sleep problems daytime sleepiness, hyperactivity, aggression, learning difficulties, restless sleep, and odd sleeping positions. After adenotonsillectomy, the abnormal hypoxaemia, excessive sleep disturbance, and multiple symptoms almost resolved; a growth spurt also occurred.
61名主要因复发性扁桃体炎而接受腺样体扁桃体切除术的打鼾儿童，与一组匹配的31名健康儿童进行了比较，比较内容包括睡眠呼吸暂停症状、睡眠低氧血症程度和睡眠障碍程度。研究在术后六个月重复进行，健康儿童在六个月后进行。术前，61%的儿童睡眠低氧血症程度高于正常，65%的儿童睡眠受到异常干扰。向家长发放的一份关于其子女的问卷显示，在睡眠问题、白天嗜睡、多动、攻击性、学习困难、睡眠不安和异常睡眠姿势等方面的回答模式异常。腺样体扁桃体切除术后，异常的低氧血症、过度的睡眠障碍和多种症状几乎消失；还出现了生长突增。
