[1]周利萍,冯前翰.儿童阻塞性睡眠呼吸暂停综合征相关危险因素研究[J].陕西医学杂志,2021,50(2):205-207.[doi:DOI:10.3969/j.issn.1000-7377.2021.02.020]
　ZHOU Liping,FENG Qianhan.Risk factors of obstructive sleep apnea syndrome in children[J].,2021,50(2):205-207.[doi:DOI:10.3969/j.issn.1000-7377.2021.02.020]
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儿童阻塞性睡眠呼吸暂停综合征相关危险因素研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
50
期数:
2021年2期
页码:
205-207
栏目:
临床研究
出版日期:
2021-02-05

文章信息/Info

Title:
Risk factors of obstructive sleep apnea syndrome in children
作者:
周利萍; 冯前翰
(陕西省第二人民医院,陕西 西安 710005)
Author(s):
ZHOU Liping; FENG Qianhan
(The Second People's Hospital of Shaanxi Province,Xi'an 710005,China)
关键词:
儿童;  阻塞性睡眠呼吸暂停综合征;  危险因素;  肥胖;  颈围;  打鼾
Keywords:
Children;  Obstructive sleep apnea syndrome;  Risk factors;  Obesity;  Neck circumference;  Snoring
分类号:
R 766.5
DOI:
DOI:10.3969/j.issn.1000-7377.2021.02.020
文献标志码:
A
摘要:
目的:探讨儿童阻塞性睡眠呼吸暂停综合征(OSAHS)相关危险因素。方法:211例健康体检儿童作为观察对象,夜间多导睡眠图(PSG)监测,详细测量并记录其体重指数(BMI)、颈长/颈围、家族遗传史、睡眠打鼾次数、呼吸暂停低通气指数以及睡眠时肢体抽动情况。参照国际儿童OSAHS标准进行分组对照,分析其危险因素。结果:211例健康儿童中有86例OSAHS患儿纳入研究组,另125例正常者作为常规组; 研究组肥胖者多于常规组(P<0.05),研究组BMI、颈围、颈长、睡眠打鼾次数、呼吸暂停低通气指数、睡眠时肢体抽动发生率均高于常规组(均P<0.05); BMI、颈长、颈围、睡眠打鼾、超重以及肥胖等指标与呼吸暂停低通气指数均表现为正相关(均P<0.05); 进一步Logistic多因素分析提示颈围、打鼾、肥胖等指标为儿童发生OSAHS的高危独立因素,尤其是肥胖指标,具有更高的危险系数(P<0.05)。结论:儿童发生阻塞性睡眠呼吸暂停综合征的高危因素主要包括颈围、打鼾、肥胖,且与肥胖程度密切有关。
Abstract:
Objective:To investigate the risk factors of obstructive sleep apnea syndrome(OSAHS)in children.Methods:211 healthy children were taken as observation objects,and night polysomnography(PSG)was used for monitoring.Body mass index(BMI),neck length/neck circumference,family genetic history,number of snoring,apnea hypopnea index and limb twitching during sleep were measured and recorded.Refer to the international children's OSAHS standard for group control and analyze its risk factors.The children were grouped according to the international children's OSAHS standards.The OSAHS risk factors were analyzed.Results:Among the 211 healthy children,86 children with OSAHS were included in the study group,and the other 125 normal subjects were regarded as the conventional group.The study group had more obese subjects than the control group(all P<0.05).The BMI index,neck circumference,neck length,number of snoring,apnea hypopnea index,and the incidence of limb twitching during sleep in the study group were all higher than those in the conventional group(P<0.05).BMI index,neck length,neck circumference,snoring,overweight and obesity were positively correlated with apnea hypopnea index(all P<0.05).Logistic multi-factor analysis suggested that neck circumference,snoring,obesity were high-risk independent factors for children with OSAHS,especially obesity indicators had a higher risk coefficients(P<0.05).Conclusion:The risk factors of obstructive sleep apnea syndrome in children mainly include neck circumference,snoring and obesity,which are closely related to the degree of obesity.

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更新日期/Last Update: 2021-01-28