Soultan Z, Wadowski S, Rao M, Kravath R E
Division of Pediatric Pulmonology, Children's Medical Center, College of Medicine, the State University of New York, Brooklyn 11203, USA.
Arch Pediatr Adolesc Med. 1999 Jan;153(1):33-7. doi: 10.1001/archpedi.153.1.33.
Obstructive sleep apnea is common in obese children who have enlarged tonsils and adenoids.
To determine if treatment of obstructive sleep apnea by tonsillectomy and/or adenoidectomy will result in normalization of an obese child's weight, as it does in underweight children, and as it does with other signs and symptoms.
Retrospective cohort study. We recorded weight and height changes after tonsillectomy and/or adenoidectomy and compared changes of the obese and morbidly obese patients with those of the other patients.
A tertiary care inner-city hospital.
Children (n = 45) who underwent tonsillectomy and/or adenoidectomy for obstructive sleep apnea in 1994-1995; their mean (+/-SD) age was 4.9+/-2.4 years at operation.
At the time of surgery, 25 children were of normal weight; 3, underweight; 7, obese; and 10, morbidly obese. Postoperatively, 31 children (69%), including 10 of the 17 who were obese or morbidly obese, had substantial weight gain: the z score +/- SD for weight of the entire group increased from 1.37+/-2.49 to 2+/-2.27 (P<.001). The mean z score +/- SD for height increased from 0.03+/-1.08 to 0.58+/-0.94 (P<.001). The body mass index (BMI or Quetelet index): calculated as weight in kilograms divided by the square of the height in meters increased in 28 patients (62%) (P = .004).
Treating obstructive sleep apnea by tonsillectomy and/or adenoidectomy is associated with increased gain in height, weight, and body mass index in most children, including the obese and morbidly obese.
阻塞性睡眠呼吸暂停在扁桃体和腺样体肿大的肥胖儿童中很常见。
确定扁桃体切除术和/或腺样体切除术治疗阻塞性睡眠呼吸暂停是否会使肥胖儿童的体重恢复正常，就像对体重不足的儿童以及对其他体征和症状的治疗效果一样。
回顾性队列研究。我们记录了扁桃体切除术和/或腺样体切除术后的体重和身高变化，并将肥胖和病态肥胖患者的变化与其他患者进行了比较。
一家市中心三级护理医院。
1994年至1995年因阻塞性睡眠呼吸暂停接受扁桃体切除术和/或腺样体切除术的儿童（n = 45）；手术时他们的平均（±标准差）年龄为4.9±2.4岁。
手术时，25名儿童体重正常；3名体重不足；7名肥胖；10名病态肥胖。术后，31名儿童（69%），包括17名肥胖或病态肥胖儿童中的10名，体重显著增加：整个组体重的z评分±标准差从1.37±2.49增加到2±2.27（P<0.001）。身高的平均z评分±标准差从0.03±1.08增加到0.58±0.94（P<0.001）。28名患者（62%）的体重指数（BMI或奎特利指数，计算方法为千克体重除以米身高的平方）增加（P = 0.004）。
扁桃体切除术和/或腺样体切除术治疗阻塞性睡眠呼吸暂停与大多数儿童（包括肥胖和病态肥胖儿童）的身高、体重和体重指数增加有关。
