| 摘要: |
| 目的 通过比较阻塞性睡眠呼吸暂停低通气综合征（OSAHS）和单纯性鼾症（PS）患儿睡眠结构间的差异，探讨 OSAHS 和 PS 对儿童睡眠结构的影响。 方法 对 96 例打鼾儿童进行多导睡眠监测，区分为 OSAHS 组 42 例和 PS 组 54 例，比较两 组患儿的睡眠结构异同，并与同年龄组正常儿童睡眠结构正常值进行比较。 结果 两组患儿的总睡眠时间、睡眠潜伏期、睡眠效率、 睡眠各期（N1 期、N2 期、N3 期、REM 期）百分比、微觉醒指数均无统计学差异（均 P ＞0.05），而 BMI、呼吸暂停低通气指数（AHI）、最低 动脉血氧饱和度（LSaO2）组间比较均有统计学差异（均 P＜0.05）。与正常组儿童睡眠结构各项指标相比，两组患儿 N1、N2 期睡眠比例 增加，N3 期、REM 期睡眠比例减少（均 P＜0.01）。 结论 OSAHS 和 PS 均可导致儿童睡眠结构紊乱，但 OSHAS 与 PS 患儿的睡眠 结构差异不明显。 |
| 关键词: 阻塞性睡眠呼吸暂停低通气综合征 单纯性鼾症 儿童 睡眠结构 多导睡眠监测 |
| DOI： |
| 分类号: |
| 基金项目:浙江省医药卫生平台骨干人才计划B类项目 |
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| Sleep architecture in children with obstructive sleep apnea/hypopnea syndrome and primary snoring |
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HE Mengzao, JIN Jian, TENG Yiqun
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the Jiaxing Second Municipal Hospital
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| Abstract: |
| Objective To analyze the characteristics of sleep architecture in children with obstructive sleep apnea/hypopnea syndrome (OSAHS) and those with primary snoring (PS). Methods Ninety six snoring children underwent overnight examination with polysomnography (PSG) to distinguish OSAHS (n=42) and PS(n=54). The parameters of sleep composition were recorded and compared between two groups; and also compared with those with normal group. Results There were no significant differences in measures of sleep architecture, including total sleep time, sleep latency, sleep efficiency, NREM1%, NREM2%, NREM3%, REM%, the micro-arousal index between OSAHS group (n=42) and PS group (n=54) (P ＞0.05).But the body mass index (BMI) and apnea hypopnea index (AHI) were significantly higher, while the lowest SaO2 was significantly lower in OSAHS group than those of PS group (P＜0.05). Compared with the normal children, NREM1% and NREM2% in OSAHS and PS groups were increased, while NREM3% and REM% decreased (all P＜0.01). Conclusion Compared to normal children, the sleep architecture in children with OSAHS or PS is changed; however, there are no much differences between two groups. |
| Key words: Obstructive sleep apnea hypopnea syndrome Primary snoring Children Sleep architecture Polysomnography |
