Evaluation of polysomnographic diagnostic criteria for obstructive sleep apnea syndrome in children
10.3760/cma.j.issn.1673-0860.2016.11.002
- VernacularTitle:儿童阻塞性睡眠呼吸暂停综合征多道睡眠监测诊断界值的探讨
- Author:
Zhifei XU
1
;
Yunxiao WU
;
Guoshuang FENG
;
Yamei ZHANG
;
Xin NI
Author Information
1. 100045,首都医科大学附属北京儿童医院呼吸科
- Keywords:
Sleep apnea,obstructive;
Polysomnography;
Diagnosis;
Child
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2016;51(11):806-811
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the appropriate criteria of obstructive sleep apnea syndrome (OSAS) in children.Method Children with snoring and healthy children were recruited from October 2014 to September 2015.Subjects were divided into four groups based on polysomnography (PSG).Group 1:children with obstructive apnea hypopnea index (OAHI) ≥ 1 (the OSAS criteria of the International Classification of Sleep Disorders,ICSD) but their AHI≤5 or OAI ≤1 (under the OSAS criteria of AHI ＞ 5 or OAI ＞ 1 by the American Thoracic Society,ATS);Group 2:children with OAHI ＜ 1 (the primary snoring criteria of the ICSD);Group 3:children with AHI ＞5 or OAI ＞ 1;and Group 4:normal children as controls.Sleep disorder scales and polysomnography parameters were compared among the four groups.Results A total of 1 115 children were included.There were 143,345,529 and 98 children in each group.After adjust for age,gender and body mass index(BMI),children in group 1 had higher total sleep disorder scale score (P＜0.01),as well as sub-scores for severe snoring (P ＜ 0.01),daytime behavior problem (P ＜0.01) and sleep related nighttime abnormality (P ＜0.05) compared with normal controls,and they had longer mean and longest duration of obstructive apnea and hypopnea and lower minimum oxygen saturation compared with children with obstructive AHI ＜ 1 (all P ＜ 0.05 or ＜ 0.01).Conclusion OA-H＞ 1 should be defined as the criteria of OSAS in children.
