OSAS in children: clinical and polysomnographic respiratory profile

Revista Brasileira de Otorrinolaringologia

Machado Júnior, Almerio de Souza¹  Gregório, Paloma Baiardi¹  Universidade Federal Fluminense¹  Daltro, Carla Hilário da Cunha¹  Andrade, Nilvano Alves de¹  Ramos, Regina Terse Trindade¹  Souza, Leda Solano de Freitas¹  Universidade Federal da Bahia¹  Andrade Filho, Antônio de Souza¹  Universidade de São Paulo¹ 

关键词: sleep apnea;    obstructive sleep apnea;    child;    polysomnography;    snoring;    sleep.;   

DOI  :  10.1590/S0034-72992006000300010

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

Obstructive sleep apnea and hypopnea syndrome in children (osas) has an estimated prevalence of up to 3% and can be associated with neurocognitive and behavioural abnormalities, and also cardiovascular complications. This study may help pediatricians, who are unaware of the problem, to recognize osas.STUDY DESIGN: series of cases. AIM: to describe the clinical characteristics and polysomnographic respiratory findings in a population of children with obstructive sleep apnea and hypopnea syndrome referred to the sleep laboratory from january 2002 up to july 2003. METHODS: we studied 93 patients between 2 and 10 years of age with polysomnographic diagnosis of obstructive sleep apnea and hypopnea syndrome. Age, gender, racial group and questions about the children’s health and sleep related disorders were evaluated. Apnea-hypopnea index, oxyhemoglobin desaturation, and arousal index were evaluated too. RESULTS: males represented 61.3%, With a mean age of 5.2 ± 2.1 (Years-old). The complaints that most commonly lead to the exams were snoring in 24.7% And restless sleep in 24.7%. Associated medical conditions frequently reported were allergic rhinitis (98.9%) And adenoid hypertrophy (50.6%). Mild apnea was found in 66%. The mean and sd of spo2 nadir was 89.1 ± 3.5% And the mean and sd of the number of arousals was 8.4 ± 3.5/ Hour of sleep.CONCLUSION: the results suggest the possibility that obstructive sleep apnea and hypopnea syndrome should be suspected in children with allergic diseases and adenoid and tonsil hypertrophy with snoring and restless sleep complaints.

【 授权许可】

Unknown