소아 폐쇄성수면무호흡증에서 편도 및 아데노이드 절제술 후 수면호흡장애 및 삶의 질의 변화
Changes of Sleep Disordered Breathing and Quality of Life after Adenotonsillectomy in Pediatric Obstructive Sleep Apnea
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Background and Objectives Pediatric obstructive sleep apnea (OSA) can have an effect on the quality of life (QOL) such as behavior, school performance, emotional distress and daytime function. We aim to verify changes in sleep disordered breathing based on polysomnographic findings and disease specific health related QOL before and after adenotonsillectomy in Korean children with OSA. Subjects and Method A total 20 children aged 3 through 13 years old (mean age=6.7 years old and male/female=14/6) with OSA were included. We evaluated respiratory disturbances in patients using the standard polysomnography and the OSA-specific health related QOL based on Korean Obstructive Sleep Apnea-18 Survey (KOSA-18). Results There were significant improvements in apnea-hypopnea index (from 9.4±7.4 to 1.1±0.8 events/hour, p＜0.001) and total score of KOSA-18 (71.3±26.0 to 33.6±10.7, p＜0.001) after adenotonsillectomy. Conclusion Sleep disordered breathing and QOL improve significantly after adenotonsillectomy in Korean OSA children. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(4):174-8
Abstract
Background and Objectives Pediatric obstructive sleep apnea (OSA) can have an effect on the quality of life (QOL) such as behavior, school performance, emotional distress and daytime function. We aim to verify changes in sleep disordered breathing based on polysomnographic findings and disease specific health related QOL before and after adenotonsillectomy in Korean children with OSA. Subjects and Method A total 20 children aged 3 through 13 years old (mean age=6.7 years old and male/female=14/6) with OSA were included. We evaluated respiratory disturbances in patients using the standard polysomnography and the OSA-specific health related QOL based on Korean Obstructive Sleep Apnea-18 Survey (KOSA-18). Results There were significant improvements in apnea-hypopnea index (from 9.4±7.4 to 1.1±0.8 events/hour, p＜0.001) and total score of KOSA-18 (71.3±26.0 to 33.6±10.7, p＜0.001) after adenotonsillectomy. Conclusion Sleep disordered breathing and QOL improve significantly after adenotonsillectomy in Korean OSA children. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(4):174-8
참고문헌 (14)
- Marcus CL, "Sleep-disordered breathing in children", Am J Respir Crit Care Med, 164(1), pp.16~30 (2001)
- Li Z, "Pediatric sleep apnea syndrome: an update", J Allergy Clin Immunol Pract, 4(5), pp.852~861 (2016)
- Ali NJ, "Snoring, sleep disturbance, and behaviour in 4-5 year olds", Arch Dis Child, 68(3), pp.360~366 (1993)
- Brunetti L, "Prevalence of obstructive sleep apnea syndrome in a cohort of 1,207 children of southern Italy", Chest, 120(6), pp.1930~1935 (2001)
- American Academy of Sleep Medicine, "International classification of sleep disorders" (2014), American Academy of Sleep Medicine
- Capdevila OS, "Pediatric obstructive sleep apnea: complications, management, and long-term outcomes", Proc Am Thorac Soc, 5(2), pp.274~282 (2008)
- Franco RA Jr, "First place--resident clinical science award 1999. Quality of life for children with obstructive sleep apnea", Otolaryngol Head Neck Surg, 123(1 Pt 1), pp.9~16 (2000)
- Mitchell RB, "Long-term changes in quality of life after surgery for pediatric obstructive sleep apnea", Arch Otolaryngol Head Neck Surg, 130(4), pp.409~412 (2004)
- Mitchell RB, "Quality of life after adenotonsillectomy for SDB in children", Otolaryngol Head Neck Surg, 133(4), pp.569~572 (2005)
- 최지훈, "소아에서 수면호흡장애로 인한 삶의 질과 인성 및 행동장애와의 관계", 대한이비인후과학회지 두경부외과학, 48(10), pp.1235~1241 (2005), 대한이비인후과학회
- 임현우, "폐쇄성 수면무호흡증후군 소아에서 삶의 질과수면다원검사 지수와의 상관관계", 대한이비인후과학회지 두경부외과학, 49(1), pp.35~40 (2006), 대한이비인후과학회
- 조우진, "수면호흡장애 소아에서 편도 및 아데노이드 절제술 후 삶의 질의 변화", 대한이비인후과학회지 두경부외과학, 49(4), pp.402~406 (2006), 대한이비인후과학회
- Goldstein NA, "Child behavior and quality of life before and after tonsillectomy and adenoidectomy", Arch Otolaryngol Head Neck Surg, 128(7), pp.770~775 (2002)
- Baldassari CM, "Pediatric obstructive sleep apnea and quality of life: a meta-analysis", Otolaryngol Head Neck Surg, 138(3), pp.265~273 (2008)