폐쇄성 수면무호흡증후군 소아에서 편도 및 아데노이드 절제술의 효과에 대한 장기 추적관찰 결과

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 제12호

발행연도: 2007.1

수록면: 1,114 - 1,117 (4page)

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Background and Objectives：Adenotonsillecotmy is the most comonly recommended for pediatiric obstructive slep apnea (OSA). The clinical improvement after surgery had been suggested on previous studies, which looked at only very short time (PSG) after adenotonsilectomy for OSA in children. Subjects and Method：Nine children (age range 3 to 13) who had macroscopic adenotonsilar hypertrophy and a respiratory disturbance index (RDI) greater than 1 on preoperative PSG were enroled in this study and underwent adenotonsillectomy. Al children underwent preoperative and postoperative PSG at 3 months and 12 months after surgery. In addition, the caregivers for (ADHD RS-IV) before, 3 months and 12 months after surgery. Scores from preoperative and postoperative PSG and ADHD RS-IV were compared using the paired sample t-test. Results：Mean of RDI and apnea index improved significantly in postoperative 3 months and 12 months (p<0.05). About 67% (6 of 9) patients had RDI leser than 1 in postoperative 3 months. However, 12 months later, 44% (4 of 9) children had (p<0.05). Conclusion：This study sugests that adenotonsillectomy is efective in the treatment of childhood OSA. And the efects of adenotonsillecotmy on pediatric OSA are maintained at least 12 months. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ; 50 :1114-7)

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

참고문헌 (17)

참고문헌 신청

/ / Effects ofadenotonsillectomy on behaviour and psychological functioning. Eur JPediatr 1996 : 56 ~ 62

/ / Normal polysomnographic respiratory values in children and adolescents

/ 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 as treatment of childhood obstructive sleep apnea 127 (1) : 88 ~ 94

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

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