He Wen, Cheng Qi
Department of Pediatric Otolaryngology, Anhui Children's Hospital, Hefei 240000, Anhui Province, China.
World J Clin Cases. 2024 Jul 16;12(20):4041-4047. doi: 10.12998/wjcc.v12.i20.4041.
Obstructive sleep apnea hypoventilation syndrome (OSAHS) in children is a sleep respiratory disorder characterized by a series of pathophysiologic changes. Statistics in recent years have demonstrated an increasing yearly incidence.
To investigate the risk factors for OSAHS in children and propose appropriate management measures.
This study had a case-control study design. Altogether, 85 children with OSAHS comprised the case group, and healthy children of the same age and sex were matched at 1:1 as the control group. Basic information, including age, sex, height, weight and family history, and medical history data of all study participants were collected. Polysomnography was used to detect at least 8 h of nocturnal sleep. All participants were clinically examined for the presence of adenoids, enlarged tonsils, sinusitis, and rhinitis.
The analysis of variance revealed that the case group had a higher proportion of factors such as adenoid grading, tonsil indexing, sinusitis, and rhinitis than the control group.
A regression model was established, and glandular pattern grading, tonsil indexing, sinusitis, and pharyngitis were identified as independent risk factors affecting OSAHS development.
儿童阻塞性睡眠呼吸暂停低通气综合征（OSAHS）是一种以一系列病理生理变化为特征的睡眠呼吸障碍。近年来的统计数据显示其年发病率呈上升趋势。
探讨儿童OSAHS的危险因素并提出相应的管理措施。
本研究采用病例对照研究设计。共纳入85例OSAHS患儿作为病例组，按1:1比例匹配相同年龄和性别的健康儿童作为对照组。收集所有研究对象的基本信息，包括年龄、性别、身高、体重和家族史，以及病史资料。采用多导睡眠图检测夜间至少8小时的睡眠情况。所有参与者均接受临床检查，以确定是否存在腺样体、扁桃体肿大、鼻窦炎和鼻炎。
方差分析显示，病例组在腺样体分级、扁桃体分度、鼻窦炎和鼻炎等因素方面的比例高于对照组。
建立了回归模型，确定腺样体分型分级、扁桃体分度、鼻窦炎和咽炎为影响OSAHS发生发展的独立危险因素。
