摘要
目的 探讨基于鼻咽X线摄影侧位片及鼻内镜诊断的腺样体肥大所致学龄期儿童睡眠呼吸暂停低通气综合征(OSAHS)与情绪障碍的关系。方法 选取耳鼻喉科诊治的临床资料完整的患儿共196例,其中经鼻咽部X线摄影侧位片及鼻内镜检查确诊为腺样体肥大且经多导睡眠(PSG)监测符合OSAHS诊断标准的患儿124例为观察组;另经鼻咽部X线摄影侧位片及鼻内镜确定无腺样体肥大且经PSG监测无睡眠障碍的儿童72例为对照组。比较两组间的焦虑抑郁评分,并分析观查组内焦虑抑郁评分同AI及AHI指数的相关性。结果 观察组患儿出现儿童焦虑的比例为27.4%,显著高于对照组患儿的12.5%;出现儿童抑郁症状的比例为30.6%,显著高于对照组患儿的15.3%,差异有统计学意义(P<0.05)。同时观察组患儿焦虑评分、抑郁评分均明显高于对照组儿童,差异有统计学意义(P<0.05)。相关性分析显示患儿焦虑抑郁评分同AI及AHI指数均线性相关。结论 腺样体肥大所致的OSAHS可使学龄期患儿焦虑抑郁水平增高,应特别关注腺样体肥大所致OSAHS是否引起患儿心理行为异常,应早发现早诊断与治疗。
Objective To investigate the relationship between sleep apnea hypopnea syndrome(OSAHS)and mood disor-ders in school-age children with adenoid hypertrophy based on lateral nasopharyngeal radiography and nasal endoscopy.Meth-ods 196 children with complete clinical data diagnosed and treated in the ENT department of our hospital were selected.Among them,the observation group consisted of 124 children diagnosed with adenoid hypertrophy through nasopharyngeal lateral radio-graphs and nasal endoscopy,who met the diagnostic criteria for OSAHS through polysomnography(PSG)monitoring;The con-trol group consisted of 72 children who were confirmed to have no adenoid hypertrophy through nasopharyngeal lateral radio-graphs and nasal endoscopy,and had no sleep disorders monitored by PSG.We compared the anxiety and depression scores be-tween two groups and studied the correlation between anxiety and depression scores as well as AI and AHI indices within the ob-servation group.Results The proportion of children with anxiety in the observation group was 27.4%,which was significantly higher than 12.5%in the control group.The proportion of children with depressive symptoms was 30.6%,which was significantly higher than 15.3%in the control group(P<0.05).At the same time,the scores of anxiety and depression in the observation group were significantly higher than those in the control group(P<0.05).Correlation studies showed that anxiety and depression scores of children were linearly correlated with AI and AHI index.Conclusions OSAHS caused by adenoid hypertrophy can in-crease the level of anxiety and depression in school-age children.Special attention should be paid to whether OSAHS caused by adenoid hypertrophy leads to psychological and behavioral abnormalities in children.Early detection,diagnosis and treatment should be carried out.
作者
吴长珍
卢爱华
孙霞
王琛
WU Changzhen;LU Aihua;SUN Xia;WANG Chen(Department of Otolaryngology-Head and Neck Surgery,Shandong Provincial Hospital Affiliated to Shandong First Medical Uni-versity,Jinan 250021,China;Jinan Lixia District People's Hospital,Jinan 250000,China;Department of Geriatrics,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China)
出处
《医学影像学杂志》
2024年第8期26-29,共4页
Journal of Medical Imaging
关键词
腺样体肥大
阻塞性睡眠呼吸暂停低通气综合征
儿童
鼻内镜检查
X线摄影
Adenoid hypertrophy
Obstructive sleep apnea-hypopnea syndrome
Children
Nasal endoscopy examination
X-ray radiography
