소아 폐쇄성수면무호흡증후군에서 편도 및 아데노이드 절제 후수면다원검사 지표의 변화
The Changes of Polysomnographic Indices after Adenotonsillectomy inPediatric Obstructive Sleep Apnea Syndrome
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Abstract
Background and Objectives：Adenotonsilar hypertrophy is one of the leading causes in pediatric obstructive sleep apnea syndrome. Because untreated obstructive sleep apnea syndrome in children is associated with various complications such as neurobehavioral and cardiovascular dysfunction, it is very important to exactly diagnose and properly treat those patients. This apnea syndrome. Subjects and Method：We evaluated children aged 4 through 15 years old (mean age= 8.14 years old), a total 19 (Male= 11, Female= 8) with obstructive sleep apnea syndrome using the laboratory based polysomnography before and after adenotonsillectomy. Results：After surgical managements, such as adenoidectomy or adenotonsillectomy, 89% of pedi-(from 10.76/hour to 0.78/hour, p= 0.001), apnea index (from 5.64/hour to 0.54/hour, p= 0.027), snoring (from 27.74% to 5.71%, p= 0.002), arousal index (from 21.31/hour to 9.43/hour, p= 0.001), minimal SaO2 (from 83.53% to 92.47%, p= 0.017) were improved significantly following surgery. Conclusion：graphic indices were significantly improved after surgical treatments. (Korean J Otolaryngol 2007 ;50 :508-11)
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