摘要
目的探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)及鼾症患儿多导睡眠图(PSG)的特点及PSG对儿童睡眠障碍的临床价值。方法对74例OSAHS及62例同年龄组原发性鼾症儿童进行整夜多导睡眠监测,并进行比较,观察呼吸紊乱指数(AHI)、觉醒次数、周期性腿动指数、睡眠最低血氧饱和度等16项指标。结果与鼾症组相比,OSAHS患儿周期性腿动指数、AHI、平均血氧饱和度(%)、最低血氧饱和度(%)、发生在非快速动眼期(NREM)的AHI均有显著差异(P均<0.05)。结论PSG是鉴别诊断OSAHS与鼾症的重要方法,与鼾症组相比OSAHS患儿睡眠结构无明显改变.OSAHS在患儿中主要发生在NREM期。
Objective To explore the polysomnography（PSG） characteristice of obstructive sleep apnea hypopnea syndrome（OSAHS） and primary snoring（PS） in children and clinical value of PSG in children with sleep disorders. Methods We analyzed 74 children with OSAHS and 62 with PS,every patient being monitored with PSG for 7 hours at night for 16 parameters, including apnea hypopnea index（AHI）, periodic leg movement index（PLMI ）, and the lowest oxygen saturation（ LSaO2） etc, The parameters of the 2 groups were comparaed. Results Comparaed with PS group, there was statistically significant difference in parameters such as PLMI, AHI, LSaO2. the moderate oxygen saturation（ MSaO2）, AHI in non - rapid eye movement （ NREM ） （ P 〈 0.05 ）. There was no statistically significant difference in the parameters such as total sleep time/time in bed（ % ）, arousals, REM%, NREM%, stage Ⅰ%, stage Ⅱ %, stage Ⅲ %, stageⅣ%. Conclusions PSG is an important method to distinguish PS from OSAHS in children, children with OSAS have normal sleep stage distribution, OSAS is a predominantly NREM phenomenon in children.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2005年第10期984-985,共2页
Journal of Applied Clinical Pediatrics
