Analysis of perioperative risk factors in young children with obstructive sleep apnea
10.16066/j.1672-7002.2024.05.012
- VernacularTitle:低龄阻塞性睡眠呼吸暂停患儿围手术期危险因素分析
- Author:
Fan LOU
1
;
Cheng MING
;
Jinyan ZU
;
Liping ZHAO
;
Jing MA
Author Information
1. 昆明市儿童医院,昆明医科大学附属儿童医院耳鼻咽喉头颈外科,云南 昆明 650228
- Keywords:
Sleep Apnea,Obstructive;
Child;
Perioperative;
Risk Factors
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2024;31(5):326-329
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To explore the perioperative risk factors in young children with obstructive sleep apnea.METHODS The 86 young OSA children admitted to Kunming Children's Hospital from January 2020 to December 2022 were divided into general ward group and ICU ward group according to their postoperative treatment.The clinical data of the two groups were compared and analyzed.RESULTS The course of disease and operation time of children in ICU ward group were significantly longer than those in general ward group,OAHI and ODI were significantly greater than those in general ward group,the intraoperative blood loss was significantly more than that in general ward group,MSaO2 and LSaO2 were significantly lower than those in general ward group,and the tonsil size and operation method composition ratio were significantly different from those in general ward group(P<0.05).There were no significant differences in sex composition ratio,age,weight,height,BMI and adenoid size grading ratio between the two groups(P>0.05).The OAHI values of the two groups were significantly negatively correlated with MSaO2 and LSaO2(r=-0.676,-0.724),and significantly positively correlated with tonsil size grade,ODI,operation time and intraoperative blood loss(r=0.242,0.967,0.321,0.446,P<0.05).There was no significant correlation with the course of disease(r=0.172,P>0.05).Multiple linear regression analysis showed that LSaO2 and ODI were independent risk factors for the severity of the child's condition.CONCLUSION The severity of the condition in young OSA children determines the perioperative risk and is influenced by the type of surgery.LSaO2 and ODI are independent risk factors which should be taken seriously by clinicians.
