Lin Chien-Heng, Chen Chieh-Ho, Hong Syuan-Yu, Chou I-Ching, Liang Shinn-Jye, Hang Liang-Wen
Division of Pediatric Pulmonology, China Medical University Children's Hospital, Taichung 404327, Taiwan.
College of Medicine, China Medical University, Taichung 404328, Taiwan.
Children (Basel). 2021 Nov 2;8(11):991. doi: 10.3390/children8110991.
In this study, we collected and analyzed polysomnography (PSG) data to investigate the value of PSG in diagnosing sleep problems in children. The results of PSG studies of children (<18 years old) with sleep problems conducted from April 2015 to May 2017 at a children's hospital in Taiwan were collected and analyzed retrospectively. Data for 310 patients (209 males and 101 females) who underwent PSG were collected. The final diagnoses were as follows: obstructive sleep apnea in 159 (51.3%), snoring in 81 (26.4%), limb movement sleep disorder in 25 (8.1%), hypersomnias in 12 (3.9%), central apnea in 8 (2.9%), enuresis in 7 (2.3%), bruxism in 5 (1.6%), sleep terrors in 5 (1.6%), narcolepsy in 3 (1.0%), sleep seizures in 3 (1.0%), sleep walking in 1 (0.3%), and insomnia in 1 (0.3%). PSG may help detect significant sleep-related problems in children and is useful for making therapeutic decisions regarding children. Obstructive sleep apnea syndrome (OSAS) was the primary sleep problem for most of the children (51.3%); however, only 7.4% of them underwent surgery for OSAS. We therefore suggest that children with sleep problems should undergo PSG.
在本研究中，我们收集并分析了多导睡眠图（PSG）数据，以探讨PSG在诊断儿童睡眠问题中的价值。回顾性收集并分析了2015年4月至2017年5月在台湾一家儿童医院对有睡眠问题的儿童（<18岁）进行的PSG研究结果。收集了310例接受PSG检查的患者（209例男性和101例女性）的数据。最终诊断结果如下：阻塞性睡眠呼吸暂停159例（51.3%）、打鼾81例（26.4%）、肢体运动睡眠障碍25例（8.1%）、发作性睡病12例（3.9%）、中枢性呼吸暂停8例（2.9%）、遗尿7例（2.3%）、磨牙5例（1.6%）、夜惊5例（1.6%）、发作性睡病3例（1.0%）、睡眠癫痫3例（1.0%）、梦游1例（0.3%）、失眠1例（0.3%）。PSG可能有助于检测儿童严重的睡眠相关问题，并有助于做出关于儿童的治疗决策。阻塞性睡眠呼吸暂停综合征（OSAS）是大多数儿童（51.3%）的主要睡眠问题；然而，其中只有7.4%的儿童因OSAS接受了手术。因此，我们建议有睡眠问题的儿童应接受PSG检查。
