Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Pediatric Division, University of Verona, Piazzale L.A. Scuro 10, 37134, Verona, Italy.
Department of Medicine, Section of General Medicine and Hypertension, University of Verona, Verona, Italy.
World J Pediatr. 2017 Dec;13(6):577-583. doi: 10.1007/s12519-017-0054-1. Epub 2017 Jul 12.
Obstructive sleep apnea in children is frequently due to tonsil and adenoid hypertrophy. This study aimed to investigate the relationship between ambulatory clinical parameters and sleep respiratory events in obese children.
We carried out a prospective respiratory sleep study between 2013 and 2015. Nails obstruction, tonsils enlargement and palate position were subjectively measured. Italian attention deficit hyperactivity disorder (ADHD) rating scale for parents was also performed. The polygraph study was performed using a portable ambulatory device.
Forty-four obese children were consecutively recruited into this study. Mild sleep respiratory disturbance was showed in 31.8 % of patients; 18.2% previously had an adeno (tonsillectomy). In 50% of these obese children, both apnea-hypopnea index and oxygen desaturation index showed polygraph abnormal results. ADHD rating scale for parents scores were positive in 9.1% of patients.
We found a high rate of mild sleep respiratory disturbance and ADHD-like symptoms referred by parents. The respiratory disturbance was not totally cured by surgery. Finally, otorhinolaryngology variables were not able to explain mild sleep respiratory disturbance.
儿童阻塞性睡眠呼吸暂停通常是由于扁桃体和腺样体肥大引起的。本研究旨在探讨肥胖儿童日间临床参数与睡眠呼吸事件之间的关系。
我们于 2013 年至 2015 年进行了一项前瞻性呼吸睡眠研究。主观评估了气道阻塞、扁桃体肿大和腭位。还进行了意大利父母注意力缺陷多动障碍（ADHD）评定量表。多导睡眠图研究使用便携式动态设备进行。
连续纳入 44 例肥胖儿童进行本研究。31.8%的患者表现出轻度睡眠呼吸障碍；18.2%的患者曾行腺样体切除术（扁桃体切除术）。在这些肥胖儿童中，50%的患者呼吸暂停低通气指数和氧减指数的多导睡眠图结果均异常。9.1%的患者父母 ADHD 评定量表评分阳性。
我们发现有相当比例的肥胖儿童存在轻度睡眠呼吸障碍和父母报告的类似 ADHD 的症状。手术并不能完全治愈呼吸障碍。最后，耳鼻喉变量并不能解释轻度睡眠呼吸障碍。
