腺样体、扁桃体切除术对睡眠呼吸障碍儿童行为异常的治疗意义

山东大学学报(医学版)

腺样体、扁桃体切除术对睡眠呼吸障碍
儿童行为异常的治疗意义

付丽，王岩，李延忠

(山东大学齐鲁医院耳鼻咽喉科卫生部耳鼻喉科学重点实验室, 济南 250012)

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-02-16 发布日期:2009-02-16
通讯作者: 李延忠

Effect of adenotonsillectomy on behavior disorders in sleepdisordered breathing children

FU Li, WANG Yan, LI Yanzhong

(Department of Otorhinolaryngology & Head and Neck Surgery, Qilu Hospital of Shandong University,
Key Laboratory of Otorhinolaryngology of Health Ministry, Jinan 250012, China)

Received:1900-01-01 Revised:1900-01-01 Online:2009-02-16 Published:2009-02-16
Contact: LI Yanzhong

摘要/Abstract

摘要： 要：目的探讨腺样体、扁桃体切除术对睡眠呼吸障碍儿童行为异常的治疗作用。方法采用32导多导睡眠仪及Polysmith睡眠分析软件对65例睡眠打鼾儿童进行整夜睡眠监测,根据诊断标准将其分为阻塞性睡眠呼吸暂停低通气综合征（OSAHS）组、单纯打鼾组和健康对照组。应用Conners简明症状问卷评定儿童行为问题，比较36例OSAHS组与29例单纯打鼾组行手术治疗前后异常行为的改善情况。结果OSAHS组及单纯打鼾组存在行为问题的比率高于健康对照组，但差异无统计学意义（P＞0.05）。行腺样体、扁桃体手术前后Conners行为简明症状问卷得分OSAHS组由14.2±3.8下降到6.7±3.1(P＜0.05)；单纯打鼾组由9.4±4.1下降到5.1±2.8(P＜0.05)；OSAHS组存在行为异常者术前19例（52.3%）术后6例（16.7%），χ2=4.347?8，P＜0.05；单纯打鼾组存在行为异常者术前14例（48.3%）术后4例（13.8%），χ2=5.263?2,P＜0.05。结论OSAHS及单纯打鼾组儿童有较多的行为问题出现。腺样体、扁桃体切除术对睡眠呼吸障碍儿童行为异常有明显的治疗作用。

关键词: 睡眠障碍, 儿童, 行为异常, 腺样体、扁桃体切除术

Abstract: To explore the effect of adenotonsillectomy on behavior disorders in sleepdisordered breathing children. Methods65 children were monitored all night by polysomnography, and their behaviors were assessed by Conners concise symptom questionnaires. ResultsThe ratio of behavior disorder in OSAHS and primary snoring children was higher than that in healthy children, but there was no statistical different between the OSAHS group and the primary snoring group. After adenotonsillectomy the score in Conners concise symptom questionnaires of OSAHS children decreased from 14.2±3.8 to 6.7±3.1(P＜0.05) and of primary snoring children decreased from 9.4±4.1 to 5.1±2.8(P＜0.05). Behavior disorders were found in 19(52.3%) children in OSAHS children before surgeries but in 6(16.7%) children after adenotonsillectomy (χ2=4.347?8，　P＜0.05), and they were found in 14(48.3%) primary snoring children before surgeries and in 4 (13.8%) after adenotonsillectomy (χ2=5.263?2, P＜0.05). ConclusionThere are a lot of behavior disorders in OSAHS and primary snoring children. Adenotonsillectomy has some effect on them.

Key words: Sleep disorders, Children, Behavior disorders, Adenotonsillectomy

中图分类号:

R563.8

付丽，王岩，李延忠. 腺样体、扁桃体切除术对睡眠呼吸障碍
儿童行为异常的治疗意义
[J]. 山东大学学报(医学版), 2009, 47(02): 92-94.

FU Li, WANG Yan, LI Yanzhong
. Effect of adenotonsillectomy on behavior disorders in sleepdisordered breathing children[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(02): 92-94.

参考文献

相关文章 15

[1]	李东梅,边天帅,王晓华,张静,赵炎,孙素芬,牟鸿,许安廷. 儿童前庭神经炎的前庭诱发肌源性电位结果[J]. 山东大学学报 (医学版), 2026, 64(4): 38-43.
[2]	孙红林,管玉强,于培儒,李磊,杜庆霞,丁浩. 支架植入治疗儿童主动脉缩窄并高血压的可行性及近中期疗效[J]. 山东大学学报 (医学版), 2026, 64(4): 58-62.
[3]	况利,徐何雁. 从精准评估到整合干预:儿童青少年心理健康问题诊疗范式的革新与展望[J]. 山东大学学报 (医学版), 2026, 64(3): 10-16.
[4]	李芳华,刘娜,李晓宇,许殿花,王倩. 儿童青少年抑郁障碍患者服药依从性研究进展[J]. 山东大学学报 (医学版), 2026, 64(3): 24-34.
[5]	孙佳丽,王亮,王长凤,张杰,郭磊. Klippel-Trenaunay综合征儿童情绪与行为特征及其影响因素[J]. 山东大学学报 (医学版), 2026, 64(3): 78-82.
[6]	王倩,胡晓婧,王爱青,孙强,孟春燕,李芳华. 儿童青少年抑郁障碍患者非自杀性自伤文献的可视化分析[J]. 山东大学学报 (医学版), 2026, 64(3): 93-107.
[7]	陈婉毓,黄莉莉,卞宏生,王艳艳,于爽,金阳. 中药调控PI3K/AKT通路改善睡眠障碍及认知障碍的研究进展[J]. 山东大学学报 (医学版), 2026, 64(1): 8-18.
[8]	王悦祺,宋东玉,李玉丽,谢昊,张月蓉. 儿童困难问题和亲社会行为在家庭弹性与祖辈隔代教养压力间的中介作用[J]. 山东大学学报 (医学版), 2026, 64(1): 57-64.
[9]	张政,王建伟,杨玉娟,张宇,宋西成. 哮喘儿童2008及2019年免疫球蛋白E变化及相关危险因素[J]. 山东大学学报 (医学版), 2025, 63(7): 32-36.
[10]	曹洛菲,王珊珊,王金荣,姜荷云,苗瑜,马光增. 哮喘发作期FeNO升高儿童肺功能舒张试验的特点分析[J]. 山东大学学报 (医学版), 2025, 63(6): 38-44.
[11]	陈绪军, 何国伟. 着力进一步推进动脉桥在我国冠心病冠脉旁路移植术中的应用[J]. 山东大学学报 (医学版), 2025, 63(5): 1-5.
[12]	莫绪明,王庆峰. 冠状动脉旁路移植术在儿童心血管疾病中的应用[J]. 山东大学学报 (医学版), 2025, 63(5): 40-46.
[13]	李玲,闫宇晗,孔清玉,王敏敏,赵海招,赵翠芬. 直立不耐受症状评分及儿茶酚胺与血管迷走性晕厥患儿情绪障碍的相关性[J]. 山东大学学报 (医学版), 2025, 63(5): 71-78.
[14]	王梦园,张春艳,于文文,寇琳娜,王世富. 2018—2021年山东省儿童与成人临床分离真菌的构成与主要菌种的体外抗真菌药物敏感性监测[J]. 山东大学学报 (医学版), 2025, 63(4): 83-93.
[15]	龚蓉,崔乃雪,陈恺悦,赵佳,单瑞洁,张训琪. 体感游戏在儿童癌症幸存者中的应用[J]. 山东大学学报 (医学版), 2025, 63(4): 94-99.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed