de Sousa Caixêta Juliana Alves, Saramago Alex Martins, Moreira Gustavo Antonio, Fujita Reginaldo Raimundo
Department of Otorhinolaryngology of Federal University of São Paulo, Brazil.
Int J Pediatr Otorhinolaryngol. 2013 Oct;77(10):1738-41. doi: 10.1016/j.ijporl.2013.08.005. Epub 2013 Aug 14.
To evaluate otolaryngologic findings in obese prepubertal children with sleep-disordered breathing.
We prospectively evaluated 29 obese children referred by pediatric endocrinologist, complaining of snoring and without a history of nasal surgery or removal of the palatine tonsils and/or adenoids. Patients underwent ear, nose and throat (ENT) examination, endoscopy, measurements of weight, height, calculation of body mass index (BMI), assessment of BMI z-score and polysomnography, from which were divided into two groups: those with obstructive sleep apnea syndrome (nine children) and those with primary snoring (20 children). Then we proceeded to the statistical analysis of the data collected.
The groups did not differ in age, gender, weight, height, BMI and BMI z-score. Among the findings of the ENT examination, the adenoid size was the only one that differed between the groups (p = 0.01).
The evaluation of the adenoid size is an important in obese children with symptoms of sleep-disordered breathing and is related to the presence of obstructive sleep apnea syndrome.
评估患有睡眠呼吸障碍的肥胖青春期前儿童的耳鼻喉科检查结果。
我们前瞻性地评估了29名由儿科内分泌学家转诊的肥胖儿童，这些儿童主诉打鼾，且无鼻手术史或腭扁桃体和/或腺样体切除史。患者接受了耳鼻喉（ENT）检查、内窥镜检查、体重和身高测量、体重指数（BMI）计算、BMI z评分评估以及多导睡眠图检查，并据此分为两组：阻塞性睡眠呼吸暂停综合征组（9名儿童）和原发性打鼾组（20名儿童）。然后我们对收集到的数据进行了统计分析。
两组在年龄、性别、体重、身高、BMI和BMI z评分方面无差异。在耳鼻喉检查结果中，腺样体大小是两组之间唯一存在差异的指标（p = 0.01）。
腺样体大小评估对于有睡眠呼吸障碍症状的肥胖儿童很重要，且与阻塞性睡眠呼吸暂停综合征的存在有关。
