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  首頁(yè) > 美迪醫(yī)訊 > 美科學(xué)家發(fā)現(xiàn)手術(shù)治療可以改善患睡眠呼吸暫停兒童的生命質(zhì)量  

美科學(xué)家發(fā)現(xiàn)手術(shù)治療可以改善患睡眠呼吸暫停兒童的生命質(zhì)量

【?2005-05-12 發(fā)布?】 美迪醫(yī)訊
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根據(jù)一項(xiàng)最新研究的結(jié)果:患有阻塞性睡眠呼吸暫停(OSA)的兒童,接受手術(shù)切除扁桃體以及淋巴腺組織,能夠改善生命質(zhì)量。

先前的研究顯示:患睡眠呼吸疾病的兒童生命質(zhì)量受到損害,影響他們的行為,容易感染,影響他們的氣道和呼吸。因此,在近年手術(shù)切除扁桃體以及淋巴腺組織的頻率不斷上升。

該項(xiàng)研究涉及了47例患有疑似睡眠呼吸疾病的兒童。其中,31例兒童、22例男孩以及9例女孩,根據(jù)多導(dǎo)睡眠腦電圖診斷為OSA。所有患者都推薦進(jìn)行增殖腺扁桃體切除手術(shù)。31例中有22例在6個(gè)月后接受了隨訪。在該組患者中,24例接受了外科手術(shù),5例沒(méi)有接受手術(shù)。

Baylor醫(yī)學(xué)院的Michael G. Stewart主持了這項(xiàng)研究,這些研究人員說(shuō):“我們發(fā)現(xiàn)與沒(méi)有接受手術(shù)的兒童相比,接受外科手術(shù)兒童的生命質(zhì)量得到了顯著改善。即使并不是所有兒童都治愈了OSA,但是生命質(zhì)量的改善毫無(wú)疑問(wèn)是十分顯著的。”這項(xiàng)研究的結(jié)果發(fā)表在2005年4月《耳鼻喉科頭頸外科手術(shù)學(xué)檔案》。

Surgery Benefits Children With Sleep Apnea
 
Children with obstructive sleep apnea (OSA) who have their tonsils and adenoid tissue surgically removed experience an improved quality of life, according to a new study.

Previous research showed that quality of life is impaired for children with sleep disturbances, affecting behavior, infections, and airway and breathing. Because of this, the frequency of surgery to remove tonsils and adenoid tissue has increased in recent years.

The current study involved 47 children with suspected sleep breathing disturbances. Of these, 31 children, 22 boys and nine girls, were all diagnosed with OSA on the basis of a polysomnogram. Adenotonsillectomy was recommended for all. Of the 31, 29 returned for a six-month followup. Of that group, 24 had undergone surgery, while five had not.

“We found significantly larger quality-of-life changes in children who underwent surgery compared with children without surgery,” said the researchers. “Even though not all children were cured of OSA, the improvement in quality of life was nevertheless significant.” The study was conducted by Michael G. Stewart, M.D., of the Baylor College of Medicine (Houston, TX, USA), and colleagues. Their findings were reported in the April 2005 issue of Archives of Otolaryngology—Head & Neck Surgery.

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