本文選題：阻塞性睡眠呼吸暫停低通氣綜合征　切入點：認(rèn)知功能　出處：《寧夏醫(yī)科大學(xué)》2012年碩士論文　論文類型：學(xué)位論文

【摘要】：目的探討扁桃體和（或）腺樣體切除術(shù)后，對阻塞性睡眠呼吸暫停低通氣綜合征兒童認(rèn)知功能的影響。 方法術(shù)前對65名OSAHS患兒采用多導(dǎo)睡眠監(jiān)測和認(rèn)知功能檢查（包括中國修訂版韋氏兒童智力量表、中國修訂版韋氏幼兒智力量表、注意力測試），在術(shù)后6個月進行相關(guān)隨訪，并與健康同齡兒童正常值比較，，數(shù)據(jù)采用SPSS11.5統(tǒng)計軟件進行分析。 結(jié)果①在韋氏幼兒智力量表的大部分項目上，學(xué)齡前期OSAHS患兒術(shù)后結(jié)果高于術(shù)前組，和健康兒童相比，僅在知識、畫圖填充分測驗中，有統(tǒng)計學(xué)意義；在言語智商、操作智商、總智商較術(shù)前均有提高，而和正常組相比三者均沒有統(tǒng)計學(xué)意義。②學(xué)齡組患兒術(shù)后和術(shù)前比較，在韋氏兒童智力量表的大部分項目上有顯著差異性，在知識、填圖數(shù)據(jù)上，術(shù)后OSAHS兒童的結(jié)果較正常組低；在言語智商、操作智商、總智商較術(shù)前均有顯著提高，同正常組比較無統(tǒng)計學(xué)意義；注意力測試結(jié)果術(shù)后患兒高于術(shù)前，而與正常兒童比較無統(tǒng)計學(xué)差異性。 結(jié)論阻塞性睡眠呼吸暫停低通氣綜合征，造成兒童認(rèn)知功能損害，在手術(shù)治療后大部分認(rèn)知功能可以恢復(fù)近正常，提示大部分受損的認(rèn)知功能是可以逆轉(zhuǎn)的，因此需盡早進行手術(shù)干預(yù)。
[Abstract]:Objective to investigate the effects of tonsillectomy and / or adenoidectomy on cognitive function in children with obstructive sleep apnea hypopnea syndrome (OSAS). Methods Sixty-five children with OSAHS were examined with polysomnography and cognitive function (including China revised Wechsler Intelligence scale, Chinese revised Wechsler Intelligence scale and attention test), and were followed up 6 months after operation. Compared with the normal values of healthy children of the same age, the data were analyzed by SPSS11.5 software. Results (1) in most items of Wechsler Infant Intelligence scale, the postoperative results of pre-school children with OSAHS were higher than those of the preoperative group. Compared with the healthy children, there was statistical significance only in the knowledge and drawing filling subtest, and in the verbal intelligence quotient. Compared with the normal group, the three groups had no statistical significance. 2. There were significant differences in most items of Wechsler Children's Intelligence scale, and there were significant differences in the knowledge among the three groups, and there was no significant difference between the three groups before and after operation. In the mapping data, the results of postoperative OSAHS children were lower than those of the normal group, the verbal intelligence quotient, the operational intelligence quotient and the total intelligence quotient were significantly higher than those before the operation, but there was no statistical significance compared with the normal group, and the attention test results were higher than those before the operation. There was no statistical difference between children and normal children. Conclusion obstructive sleep apnea hypopnea syndrome can cause cognitive impairment in children. Most of the cognitive function can be restored to normal after operation, suggesting that most of the impaired cognitive function can be reversed. Therefore, surgical intervention should be carried out as soon as possible.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R766

【參考文獻】

相關(guān)期刊論文 前10條

1 許志飛;張亞梅;趙靖;安嘉清;;兒童睡眠呼吸障礙程度的判斷[J];中國耳鼻咽喉頭頸外科;2007年09期

2 繆東生;常英展;梁偉平;羅偉;王旭平;何飛;黃靖;張國坤;;兒童阻塞性睡眠呼吸暫停低通氣綜合征手術(shù)療效分析[J];中國耳鼻咽喉頭頸外科;2008年01期

3 蔡謙;蘇振忠;文衛(wèi)平;柴麗萍;鄒華;葉輝;;兒童輕度阻塞性睡眠呼吸暫停低通氣綜合征臨床處理探討[J];中國耳鼻咽喉頭頸外科;2009年03期

4 馬云霞;劉業(yè)海;臧艷;;睡眠呼吸障礙對兒童心理行為的影響及手術(shù)治療的意義[J];中國耳鼻咽喉頭頸外科;2011年07期

5 田莉;林鏑;;阻塞性睡眠呼吸暫停低通氣綜合征患兒睡眠結(jié)構(gòu)的分析[J];廣東醫(yī)學(xué);2011年07期

6 趙鵬軍;兒童阻塞性睡眠呼吸暫停并發(fā)癥的研究進展[J];國外醫(yī)學(xué)(兒科學(xué)分冊);2001年04期

7 鄭秀瑾;魏紅;張誼;;腺樣體肥大患者的認(rèn)知功能改變[J];中國健康心理學(xué)雜志;2009年02期

8 張亞梅;兒童阻塞性睡眠呼吸障礙的研究任重道遠(yuǎn)[J];臨床兒科雜志;2005年01期

9 徐佩茹;;兒童阻塞性睡眠呼吸暫停綜合征研究現(xiàn)況[J];實用兒科臨床雜志;2007年16期

10 鐘韓榮;余曉娟;麥智廣;余聲華;;不同體質(zhì)指數(shù)與兒童阻塞性睡眠呼吸暫停低通氣綜合征的關(guān)系研究[J];實用醫(yī)學(xué)雜志;2010年04期

本文編號：1629548