摘要
目的 探讨多导睡眠监测在儿童慢性气道炎症伴睡眠呼吸障碍中的应用,为正确诊治慢性气道炎症提供指导。方法 对来自江西省儿童医院慢性气道炎症并伴有睡眠呼吸障碍的儿童收集临床资料并进行统计、分析。对所有儿童进行多导睡眠监测,同时对其各项症状体征改善效果进行统计,比较所有患儿治疗前后的日间及夜间咳嗽症状积分。结果 入组的32例儿童中男22例,女10例,平均年龄(5.66±2.364)岁,2~5岁儿童14例,6~10岁儿童18例。轻度阻塞性睡眠呼吸暂停27例,中度阻塞性睡眠呼吸暂停3例,重度阻塞性睡眠呼吸暂停2例。反复上呼吸道感染伴扁桃体肥大2例,过敏性鼻炎伴腺样体肥大8例,腺样体肥大伴上气道咳嗽综合征15例,腺样体肥大伴上气道咳嗽综合征伴支气管哮喘4例,上气道咳嗽综合征伴咳嗽变异性哮喘3例。治疗后患儿的打鼾、张嘴呼吸、呼吸暂停、睡眠憋醒、遗尿、咳嗽及打喷嚏消失率均较高,尤其是呼吸暂停的消失率达到了100.00%;治疗1、2、3个月后患儿的日间及夜间咳嗽症状积分、总积分持续下降,且治疗后的日间及夜间咳嗽症状积分、总积分均显著低于治疗前,差异有统计学意义(P <0.05)。结论 多导睡眠监测有助于监测儿童阻塞性睡眠呼吸暂停,对于轻中度阻塞性睡眠呼吸暂停内科治疗有效,针对性的治疗有助于改善患者的症状体征,临床应用意义较高。
Objective To explore the application of sleep monitoring in chronic airway inflammation,and provide guidance for the correct diagnosis and treatment of chronic airway inflammation.Methods The clinical data of children with chronic airway inflammation and respiratory and sleep disorders from Jiangxi Provincial Children’s Hospital were collected and analyzed.And all the children were treated with polysomnography,then the improvement effect of various symptoms and signs of all the children were analyzed,the scores of day and night cough symptoms of all the children before and after the treatment were compared.Results Among the 32 children enrolled,22 were males and 10 were females,with an average age of(5.66±2.364) years,14 children aged 2-5 years,and 18 children aged 6-10 years.27 cases of mild obstructive sleep apnea,3 cases of moderate obstructive sleep apnea,2 cases of severe obstructive sleep apnea.two cases of recurrent upper respiratory tract infection with tonsillar hypertrophy,8 cases of allergic rhinitis with adenoid hypertrophy,there were 15 cases of adenoid hypertrophy with upper airway cough syndrome,4 cases of adenoid hypertrophy with upper airway cough syndrome and bronchial asthma,and 3 cases of upper airway cough syndrome with cough variant asthma.The disappearance rates of snoring,mouth opening breathing,apnea,sleep holding,enuresis,cough and sneezing of the children were higher,especially the disappearance rate of apnea has reached 100.00%;and the scores of day and night cough symptoms,total scores of all the children at first,second and third month after the treatment continuously decreased,and the scores of day and night cough symptoms,total scores after the treatment were significantly lower than the scores before the treatment,the differences were statistically significant(P<0.05).Conclusion Polysomnography can help monitor obstructive sleep apnea in children,and is effective for the medical treatment of mild to moderate obstructive sleep apnea,and the targeted treatment is helpful to the i
作者
胡次浪
黄鹏
李岚
朱晓华
张帆
杜云
李建
HU Cilang;HUANG Peng;LI Lan;ZHU Xiaohua;ZHANG Fan;DU Yun;LI Jian(Department of Respiratory Medicine,Jiangxi Provincial Children's Hospital,Nanchang 330006,China)
出处
《中国医药指南》
2022年第34期1-4,共4页
Guide of China Medicine
基金
江西省科技厅重点研发项目(20177BBG70020)。
