【摘要】：目的:探討兒童OSAHS與腺樣體、扁桃體大小的關(guān)系。方法:2008-06-2010-10期間在我科門診和病房以PSG確診的338例OSAHS患兒為病例組,并根據(jù)阻塞性呼吸暫停指數(shù)(OAI)或AHI分為輕、中、重3個亞組,同時采用簡單隨機抽樣方法,選擇同期就診的無上呼吸道阻塞癥狀的207例聲帶小結(jié)患兒為對照組。對2組患兒口咽部、電子鼻咽喉鏡的檢查結(jié)果,進行回顧性分析,探討腺樣體、扁桃體大小與兒童OSAHS的相關(guān)性。以SPSS 17.0軟件對數(shù)據(jù)進行統(tǒng)計學(xué)分析。結(jié)果:病例組Ⅲ、Ⅳ度腺樣體以及Ⅲ、Ⅳ度扁桃體的比例分別為89.7%、68.4%,明顯高于對照組的30.9%、13.5%,差異有統(tǒng)計學(xué)意義(均P0.01)。病例組中,Ⅳ度與Ⅲ度腺樣體比較,Ⅳ度與Ⅲ度扁桃體比較,前者發(fā)生OSAHS的危險程度明顯增高。腺樣體、扁桃體分度的比例在病例組輕、中、重亞組中逐級遞增(P0.01)。采用張口壓舌法與電子鼻咽喉鏡檢查,對多數(shù)病例組患兒扁桃體大小和咽腔狹窄的判斷結(jié)果一致。但35例張口壓舌法檢查為Ⅰ、Ⅱ度的扁桃體,其中13例(37.1%)以電子鼻咽喉鏡檢查扁桃體為Ⅲ度。結(jié)論:腺樣體肥大、扁桃體肥大是兒童OSAHS的危險因素,其中Ⅳ度腺樣體和Ⅳ扁桃體的發(fā)病風(fēng)險明顯增高;腺樣體、扁桃體大小與兒童OSAHS的病情嚴重程度呈正相關(guān);電子鼻咽喉鏡檢查是兒童OSAHS病因診斷的重要檢查手段,且有助于包埋型扁桃體大小的判斷。
[Abstract]:Objective: to investigate the relationship between OSAHS and adenoid and tonsil size in children. Methods: 338 patients with OSAHS diagnosed by PSG were divided into 3 subgroups according to obstructive apnea index (OAI) or AHI in our outpatient department and ward from June to October in 2008-06-2010. The patients were divided into 3 subgroups: mild, moderate and severe. At the same time, a simple random sampling method was used. 207 children with vocal nodules without upper respiratory obstruction were selected as control group. To investigate the correlation between adenoid and tonsil size and OSAHS in children, the results of oropharyngoscope and electronic laryngoscope were analyzed retrospectively. The data were analyzed by SPSS 17.0 software. Results: the proportions of 鈪，

本文編號：2262150