引用本文:王敏娇,徐淑桦,杜常欣,牟思璇,胡嘉忻,朱 敏.被动鼻呼吸多导睡眠图监测对儿童OSAHS诊断的初步报告[J].中国临床新医学,2018,11(11):1086-1088.
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被动鼻呼吸多导睡眠图监测对儿童OSAHS诊断的初步报告
王敏娇,徐淑桦,杜常欣,牟思璇,胡嘉忻,朱 敏
200011 上海,上海交通大学医学院附属第九人民医院·口腔医学院口腔颅颌面科,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所
摘要:
[摘要] 目的 探讨被动鼻呼吸多导睡眠图(PSG)监测对诊断儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床应用价值。方法 对比分析同一患儿张口呼吸及闭唇被动鼻呼吸PSG监测情况。结果 PSG监测报告显示呼吸暂停低通气指数(AHI)、阻塞性呼吸暂停指数(OAI)参数在闭唇被动鼻呼吸状态较张口呼吸状态增高,最低血氧饱和度(LSaO2)降低。结论 张口呼吸状态睡眠监测掩饰了患儿的OSAHS严重程度,可尝试使用闭唇睡眠监测以提高儿童OSAHS的阳性检出率。
关键词:  阻塞性睡眠呼吸暂停低通气综合征  儿童  多导睡眠图  张口呼吸
DOI:10.3969/j.issn.1674-3806.2018.11.05
分类号:R 76
基金项目:
A preliminary report on passive nasal breathing polysomnography in diagnosis of pediatric obstructive sleep apnea-hypopnea syndrome
WANG Min-jiao, XU Shu-hua, DU Chang-xin, et al.
Department of Oral and Craniomaxillofacial Science, Shanghai Ninth People′s Hospital, College of Stomatology, Shanghai Jiao Tong University, School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai 200011, China
Abstract:
[Abstract] Objective To explore the clinical application value of passive nasal breathing polysomnography in diagnosis of pediatric obstructive sleep apnea-hypopnea syndrome(OSAHS). Methods The monitoring results of mouth breathing and closed lips passive nasal breathing polysomnography were compared in the same child. Results The polysomnographic parameters of respiratory apnea hypopnea index(AHI), obstructive apnea index(OAI) were higher and lowest oxygen saturation of blood(LSaO2) was lower in the children with closed lips passive nasal breathing than those in the children with mouth breathing. Conclusion  Polysomnography under mouth breathing condition conceals the severity of OSAHS in chlidren. Closed lips passive nasal breathing polysomnography is a possible way to improve the positive detection rate of pediatric OSAHS.
Key words:  Obstructive sleep apnea-hypopnea syndrome(OSAHS)  Children  Polysomnography(PSG)  Mouth breathing