Influence on antidiuretic hormone secretion in children with obstructive sleep apnea hypopnea syndrome
10.3321/j.issn:1673-0860.2008.03.005
- VernacularTitle:儿童阻塞性睡眠呼吸暂停低通气综合征对抗利尿激素水平的影响
- Author:
Zhi-Yong YUE
1
;
Ming-Ming WANG
;
Hong LI
;
Yu-Ming LI
;
Yong-Hui YU
;
Hai-Bo WANG
Author Information
1. 山东大学附属省立医院
- Keywords:
Child;
Sleep apnea,obstructive;
Uasopressins;
Polyuria
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2008;43(3):179-182
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influence of obstructive sleep apnea hypopnea syndrome(OSAHS)in children on the secretion of antidiuretic hormone(ADH). Methods Thirty pediatric patients with OSAHS were examined with polysomnography(PSG) and urinary volume was recorded during sleep,and vein blood was sampled in deep sleep to detect the level of ADH in serum using radioimmunoassay technique,which were performed before and after adenotonsillectomy. Among twenty heath children were also detected the secretion of ADH as normal controls. Results After surgery, apnea-hypopnea index(AHI)decreased(from 17.4±2.6 to 3.3 ±1.4,t=27.68,P＜0.001),lowest SaO2 increased(from 0.783 ±0.134 to 0.954 ±0.062, t=6.45, P＜0.001). The level of ADH in OSAHS patients(63.1±35.2)ng/L was much lower than that in health children(85.1±22.2)ng/L(t=2.75,P＜0.01).The serum ADH level in postoperative patients(83.1±21.2)ng/L was increased significantly compared with that of preoperative(t=2.56, P＜0.05), and no statistical difference versus that of health children(t=0.17, P＞0.05). Nycturia volume of preoperative OSAHS children(492±90)ml was significant higher than that of postoperative(332±56)ml or normal controls(346±62)ml(t was 7.85 and 6.43,both P＜0.001). There was no significance in nycturia volume between postoperative group and control group(t=0.77,P＞0.05). Conclusions After adenotonsillectomy in children with OSAHS caused by adenotonsillan hypertrophy. The sleep pattern and ADH secretion could become normal.
