Silensor阻鼾器治疗儿童阻塞性睡眠呼吸暂停综合征的疗效研究

›› 2013, Vol. 33 ›› Issue (8): 520-522.

Silensor阻鼾器治疗儿童阻塞性睡眠呼吸暂停综合征的疗效研究

马杰¹,穆超¹,徐静²,刘进¹,穆锦全¹

1. 南京市妇幼保健院
2. 江苏省中医院耳鼻喉科

收稿日期:2013-03-01 修回日期:2013-04-09 出版日期:2013-08-28 发布日期:2013-09-03
通讯作者: 马杰 E-mail:joema1999@hotmail.com
基金资助:
南京医科大学科技发展基金面上项目

Effect of Silensor on the child patients with obstructive sleep apnea syndrome

Received:2013-03-01 Revised:2013-04-09 Online:2013-08-28 Published:2013-09-03

摘要/Abstract

摘要： 目的观察阻塞性睡眠呼吸暂停综合征(obstructive sleep apnea syndrome，OSAS)的儿童在Silensor阻鼾器治疗后的上气道解剖学及平均呼吸紊乱指数的变化，评价Silensor阻鼾器的临床疗效。方法随机选择2008—2011年在南京市妇幼保健院及江苏省中医院耳鼻喉科的OSAS儿童患者（3～12岁）17例，根据呼吸紊乱指数(apnea hyponea index，AHI)分为轻度、中度和重度3组。治疗前后拍摄头颅定位侧位片，测量后鼻嵴-咽顶点距（PNS-R），后鼻嵴-上咽壁距（PNS-UPW），软腭后-软腭后咽壁距（SPP-SPPW），悬雍垂尖-中咽壁距（U-MPW），后气道间隙（TB-TPPW），会厌谷-下咽壁距（V-LPW）等指标的变化；多导睡眠监测仪对治疗前后进行检测，通过AHI评价治疗效果。结果 SPP-SPPW、 U-MPW及TB-TPPW在轻、中度OSAS患儿中治疗后均有显著增加；AHI在轻、中度OSAS患儿中治疗后均有显著减小。结论 Silensor阻鼾器可以扩大上气道，是一种值得肯定的治疗儿童轻、中度OSAS的方法。

关键词: 阻塞性睡眠呼吸暂停综合征, Silencor阻鼾器, 儿童, obstructive sleep apnea syndrome , OSAS, Silencor, children

Abstract: Objective To assess the effect of Silencor after Silencor was used on child patients with OSAS by the variation of upper airway and AHI. Methods Seventeen child patients (3-12 years old) with OSAS were included between 2008 and 2011 from Nanjing Maternity and Child Health Care Hospital and E.N.T. Department of Jiangsu Provincial Hospital of TCM, who were classified into mild group, moderate group and severe group according to AHI. Cephalometric analyses were carried out before and after the treatment to examine the variation of PNS-R, PNS-UPW, SPP-SPPW, U-MPW, TB-TPPW, V-LPW. All patients underwent polysomnography for twice to evaluate the therapentic effect by AHI at the first visit and after the improvement of subjective symptoms. Results SPP-SPPW, U-MPW, TB-TPPW increased significantly in mild and moderate child patients with OSAS after treatment. AHI decreased significantly in mild and moderate child patients with OSAS after treatment. Conclusion Silensor can enlarge the upper air way, which is positive for child patients with mild or moderate OSAS.

中图分类号:

R783.9

马杰穆超徐静刘进穆锦全. Silensor阻鼾器治疗儿童阻塞性睡眠呼吸暂停综合征的疗效研究[J]. 口腔医学, 2013, 33(8): 520-522.

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