Bravo-Quelle N, Sáez-Ansotegui A, Bellón-Alonso S, Lowy-Benoliel A, García-Santiago S, Ribeiro-Arold C, Prieto-Montalvo J
Hospital General Universitario Gregorio Marañón, Madrid, España.
Hospital Materno Infantil Gregorio Marañón, Madrid, España.
Rev Neurol. 2023 May 1;76(9):279-285. doi: 10.33588/rn.7609.2023076.
Obstructive sleep apnoea syndrome (OSAS) affects between 1% and 6% of children. Its diagnosis includes: a) snoring and/or apnoea; and b) an apnoea and hypopnoea index >3/hour obtained by polysomnography (PSG). The main aim of this work is to determine the prevalence of OSAS in our study population.
We conducted a descriptive study with a sample of 151 children aged between 1 and 12 years, who had been referred to the sleep unit of the Hospital General Universitario Gregorio Maranon for a PSG. We analysed the demographic variables sex and age; the clinical variables snoring, apnoeas and tonsillar hypertrophy; and the presence of OSAS based on the polysomnographic diagnostic criterion of an apnoea and hypopnoea index >3/hour.
The mean age of the sample was 5.37 years (standard deviation: 3.05) and 64.9% were males. In 90.1% of cases, the reason for the visit was suspected OSAS. Snoring, apnoeas and tonsillar hypertrophy were observed in 73.5, 48.7 and 60% of cases, respectively. OSAS was diagnosed en 19 children (12.6%); in 13.5% of snorers; in 15.1% of those with apnoeas; and in 15.6% of the children with tonsillar hypertrophy.
In our study, the prevalence of OSAS in children was 12.6%, which is higher than that reported in most epidemiological studies that include PSG for the diagnosis of OSAS.
阻塞性睡眠呼吸暂停综合征（OSAS）影响1%至6%的儿童。其诊断包括：a）打鼾和/或呼吸暂停；b）通过多导睡眠图（PSG）获得的呼吸暂停低通气指数>3次/小时。这项研究的主要目的是确定我们研究人群中OSAS的患病率。
我们进行了一项描述性研究，样本为151名年龄在1至12岁之间的儿童，他们因PSG检查被转诊至格雷戈里奥·马拉尼翁大学综合医院睡眠科。我们分析了人口统计学变量性别和年龄；临床变量打鼾、呼吸暂停和扁桃体肥大；以及根据呼吸暂停低通气指数>3次/小时的多导睡眠图诊断标准确定的OSAS情况。
样本的平均年龄为5.37岁（标准差：3.05），64.9%为男性。在90.1%的病例中，就诊原因是疑似OSAS。分别在73.5%、48.7%和60%的病例中观察到打鼾、呼吸暂停和扁桃体肥大。19名儿童（12.6%）被诊断为OSAS；打鼾儿童中13.5%被诊断为OSAS；呼吸暂停儿童中15.1%被诊断为OSAS；扁桃体肥大儿童中15.6%被诊断为OSAS。
在我们的研究中，儿童OSAS的患病率为12.6%，高于大多数采用PSG诊断OSAS的流行病学研究报告的患病率。
