Release date: 2007-07-17
Therapeutic analysis of obstructive sleep apnea hypopnea syndrome in children------------------------------------- ------------------------------------------- Surgical removal of adenoids and ( Or) tonsils are the preferred method for the treatment of obstructive sleep apnea hypopnea syndrome (OSAHS). Poor surgical results are mainly caused by obesity, nasal diseases and other complications, as well as inappropriate selection of indications for adenoidectomy. Obstructive sleep apnea hypopnea syndrome (OSAHS) is the most common clinical manifestation, mainly characterized by sleep snoring accompanied by apnea and superficial respiration, repeated hypoxemia, hypercapnia and sleep structural disorders at night, leading to daytime Drowsiness, cardiovascular and cerebrovascular complications and even organ damage, seriously affect the quality of life and longevity of patients. A study was published in the second issue of the Chinese Journal of Otorhinolaryngology Head and Neck Surgery in February. The researchers retrospectively analyzed the diagnosis of OSAHS and the adenoids in the Department of Otorhinolaryngology, Beijing Children's Hospital, Capital Medical University from June 2004 to June 2006. Or) tonsillectomy, and 243 children with complete follow-up data, including 177 males and 66 females; aged 1 year, 5 months to 14 years old. All patients underwent multi-channel sleep monitoring before surgery and 3 months to 12 months after surgery. The surgical outcome was evaluated according to the degree of clinical symptom relief, apnea hypopnea index and minimum oxygen saturation. To explore the reasons for the poor outcome of OSAHS children after surgical treatment and to continue treatment. Research by Zhang Yamei, from the Department of Otorhinolaryngology, Beijing Children's Hospital, Capital Medical University, showed that 221 children (90.9%) were cured; 22 patients had postoperative AHI>5.0 times/h, and 5 cases (2.1%) had symptoms. Before the improvement, 17 cases (7.0%) had no significant relief of clinical symptoms. Of the 17 patients with poor efficacy, 2 patients underwent adenoidectomy and tonsil hypertrophy, and recovered after reoperation of tonsil; 7 patients with nasal disease (7/47) improved after drug treatment; 5 cases), funnel chest (1 case), cerebral palsy (1 case), round pillow hyperplasia (1 case), treated with a ventilator, the symptoms were alleviated significantly. Therefore, surgical removal of adenoids and/or tonsils is the preferred method for treating OSAHS in children. Poor surgical results are mainly caused by obesity, nasal diseases and other complications, as well as inappropriate selection of indications for adenoidectomy. For children with poor surgical results, careful analysis of the causes and attention to the treatment of complications can further improve the efficacy. ——Midi Medical Network
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