폐쇄성 수면무호흡증후군 소아에서 편도 및 아데노이드 절제술의 효과

박정준; 심현준; 최선명; 윤상원; 신홍범; 김의중; 구영진; 안영민

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자료유형: 학술저널

저자정보: 박정준 심현준 최선명 윤상원 신홍범 김의중 구영진 안영민

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제50권 제8호

발행연도: 2007.1

수록면: 667 - 671 (5page)

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Background and Objectives：Adenotonsilar hypertrophy is the leading cause for obstructive sleep apnea (OSA) in children. However, clinical improvement after adenotonsillectomy has not ben confirmed objectively in Korean children. We evaluated the efects of adenotonsillectomy on polysomnography (PSG) in children with OSA. Subjects and Method：Fifteen children (age range 3 to 13) who had macroscopic adenotonsilar hypertrophy and a respiratory disturbance index (RDI)preoperative PSG were enrolled in this study and underwent adenotonsillectomy. All children underwent preoperative and post-operative PSG at 10 weeks after adenotonsilectomy. In addition, the care-givers of each child were asked to check the deficit hyperactivity disorder rating scale-IV (ADHD RS-IV) before and 8 weeks after surgery. Scores from the preoperative and post-operative PSG and ADHD RS-IV were compared using the paired samples t-test. Results：The improvements in RDI, apnea-hypoapnea index, apnea index, arousal index, lowest O2 (p< 0.05). About 67% (10 of 15) patients were successfully treated with surgery, but 33% (5 of 15) children had RDI greater than 1 after surgery. ADHD RS-IV score showed significant improvement (p<0.05). Conclusion：This study sugests that adenoton-sillectomy is efective in the treatment of childhod OSA, but dose not have perfect results. The presence of residual OSA after surgery in a large number of patients is a significant probability that deserves more studies and intervention. (Korean J Otorhino -laryngol-Head Neck Surg 2007 ;50 :667-71)

#폐쇄성 수면장애·소아·수면다원검사·편도 절제술·아데노이드 절제술. #Obstructive slep apnea· Child· Polysomnography· Tonsillectomy· Adenoidectomy.

참고문헌 (17)

참고문헌 신청

/ 1995 / Inability of clinical history to distinguish primary snoring from obstructive sleep apnea syndrome in children 108 (3) : 610 ~ 618

/ 1995 / Snoring, apneic episodes, and nocturnal hypoxemia among children 6 months to 6 years old 107 (4) : 963 ~ 966

/ 1995 / Use of nasal continuous positive airway pressure astreatment of childhood obstructive sleep apnea 127 (1) : 88 ~ 94

/ 1996 / Sleep disordered breathing: Effects of adenotonsillectomy on behavior and psychological functioning 155 (1) : 56 ~ 62

/ 1996 / The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome 19 (2) : 156 ~ 177

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