소아에서 편도 및 아데노이드 절제술이 주의력 결핍과과잉행동에 미치는 영향

구본조; 구영진; 박경훈; 최선명; 권순욱; 윤상원; 박정준

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자료유형: 학술저널

저자정보: 구본조 구영진 박경훈 최선명 권순욱 윤상원 박정준

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제49권 제2호

발행연도: 2006.1

수록면: 187 - 193 (7page)

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Background and Objectives：Sleep disordered breathing (SDB) is a common problem in the otolaryngology clinic and adenotonsillar hypertrophy is thought to be one of the most common etiologic factors. SDB possibly exhibits problems of behavioral regulation, such as inattention, hyperactivity and impulsive behavior. The goal of this study was to assess the effect of adenotonsillectomy on inattention and hyperactivity in children. Subjects and Method：We selected 54 pediatric patients with sleep disordered breathing. Adenotonsillectomy was performed for all patients. Adenotonsillar hypertrophy and the degree of SDB were evaluated preoperatively. The degree of inattention and hyperactivity was evaluated by attention deficit hyperactivity disorder rating scale-IV (ADHD RS-IV) before and after surgery. Results：ADHD RS-IV score showed significant improvement after the operation in most children with SDB. But the improvement of ADHD RS-IV was not associated with the degree of adenotonsillar hypertrophy. However, much improvement in postoperative ADHD RS-IV was observed with children having higher preoperative ADHD RS-IV and/or SDB scale. Conclusion：Adenotonsillectomy seems to improve inattention and hyperactivity in most children with SDB. Improvement is more apparent in children with severe sleep disturbance and severe attention deficit and hyperactivity. (Korean J Otolaryngol 2006;49:187-93)

#폐쇄성 수면장애·주의력 결핍과 과잉행동장애·편도 절제술·아데노이드 절제술. #Sleep disordered breathing·Attention deficit hyperactivity disorder·Tonsillectomy·Adenoidectomy.

참고문헌 (18)

참고문헌 신청

/ 1979 / Radiographic evaluation of adenoidalsize in children:Adenoidal-nasopharyngeal ratio 133 : 401 ~ 4

/ 1996 / Sleep disordered breathing:Effects ofadenotonsillectomy on behaviour and psychological functioning 155 : 56 ~ 62

/ 1998 / Sleep and daytime behaviorin children with obstructive sleep apnea and behavioral sleep disorders 102 : 1178 ~ 1184

/ 1998 / Sleep-disordered breathing and school performance in children 102 : 616 ~ 620

/ 2000 / The incidenceand clinical symptoms of palatine tonsillar hypertrophy inelementary school children 43 : 1342 ~ 1345

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