查詢結果分析
來源資料
頁籤選單縮合
題 名 | 兒童打鼾與睡眠呼吸暫停之治療結果=Treatment Results of Snoring and Sleep Apnea in Children |
---|---|
作 者 | 張凱評; 李學禹; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷 期 | 36:3 民90.05-06 |
頁 次 | 頁148-154 |
分類號 | 416.8 |
關鍵詞 | 打鼾; 睡眠呼吸暫停; 兒童; 扁桃體切除術; Snoring; Sleep apnea; Children; Tonsillectomy; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:絕大多數小孩打鼾及睡眠呼吸中止的原因是扁桃與腺樣體的肥大增生,其次是各種先天性顱顏異常。本文提出患有單純性打鼾及睡眠呼吸中止症兒童之各種症狀的比例分佈,及手術後各種臨床症狀的改善程度。 方法:自1998年2月至1999年2月間,共73例因打鼾及睡眠呼中止相關症狀,而接受扁桃體切除術或合併腺樣體切除術的兒童。術前檢查包括主觀問卷調查, 病史詢問,耳鼻喉科例行檢查,頭顱側面X光攝影及多項睡眠生理檢查,術後再以主觀問卷調查來評估手術的效果。 結果:73例中,男性46名,女性27名。年齡分布自2至16歲之間,平均為8.0歲。體重分布自10至64kg之間,平均為30.3kg。術前的臨床症狀以打鼾最多,其次是睡覺張口呼吸與經常感冒。對於手術結果的主觀判斷,父母認為整體有顯著改善有55例(75.3%)、中度改善者15例(20.5%)、輕度改善者3例(4.1%)、沒改善者為零。合併症共2例(2.7%)、皆為術後傷口出血。 結論:手術後對於打鼾、睡覺費力呼吸、不易入睡等臨床症狀的改善極為明顯,對於過度活動、進食媛慢、注意力不集中等臨床症狀的改善較不明顯。術後臨床症狀顯著改善者占大多數,証明扁桃體切除術或合併腺樣體切除術,對於解除打鼾及睡眠呼吸中止相關症狀極有幫助。 |
英文摘要 | BACKGROUND:Hypertrophied tonsils and adenodis are the main predisposing factors for primary snoring and obstructive sleep apnea (OSA) in children, with craniofacial abnormalities less common. The present study addfressed the distribution of all clinical symptoms of primary snoring and OSA in children and evaluated the efficacy of surgical treatment. METHOD:Between February 1998 and February 1999, 73 children referred to our hospital for primary snoring or OSA underwent tonsillectomy or adenotonsillectomy. Preoperative evaluations included a parental questionnaire, detailed history, routine ENT examination, lateral skull plain films and polysomnography. Surgical results were evaluated by a second questionnaire postoperatively. RESULTS:Of the 73 subjects, 46 were boys and 27 girls. Ages ranged between two and 16 years and the average was 8.0 years. Body mass ranged between ten and 64 kg and was 30.3 kg on average. The most common clinical symptom was snoring (97.2%), followed by open-mouth breathing (86.2%) and having frequent colds (65.8%). In term of overall improvement of clinical symptoms, 55 (75.3%) experienced marked improvement; 15 (20.5%) had moderate improvement; and three (4.1%) showed slight improvement. None had no improvement. Only two surgical complications occurred, both of which were postoperative bleeding. CONCLUSION:In terms of symptoms in the subjects, snoring, labored breathing, and difficultly falling asleep were markedly reduced after surgery, whereas hyperactivity, slow eating, and inattention were less improved postoperatively. In term of the overall improvement in clinical symptoms, most children showed marked improvement. Based on our results, adenotonsillectomy seems a justifiable management approach if not the treatment of choice for primary snoring and OSA in children. |
本系統中英文摘要資訊取自各篇刊載內容。