Analysis of polysomnographic monitoring results of 523 children in a tertiary hospital in Gansu province
10.3760/cma.j.issn.1673-4912.2021.12.009
- VernacularTitle:甘肃省某三甲医院523例儿童多导睡眠监测结果分析
- Author:
Tingting ZHANG
1
;
Yongjun WANG
;
Shuying WANG
;
Hanyi LI
;
Xinmei ZHANG
;
Zhongtao WANG
;
Xiang BAI
;
Yuan HUO
;
Yongsheng SHI
Author Information
1. 甘肃省妇幼保健院，兰州 730050
- Keywords:
Sleep disorders;
Polysomnography;
Obstructive sleep apnea hypopnea syndrome
- From:
Chinese Pediatric Emergency Medicine
2021;28(12):1089-1093
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the results of polysomnography(PSG) in 523 children, and explore the sleep monitoring results and related influencing factors of obstructive sleep apnea hypopnea syndrome(OSAHS).Methods:The PSG monitoring results of children with OSAHS and non-OSAHS were analyzed for children aging from 0 to 16 years old, who were monitored at Sleep Medicine Center of Gansu Maternal and Child Health Hospital from January 2014 to December 2019.Results:A total of 523 children underwent PSG monitoring during the past 5 years.The male to female ratio was 1∶0.47, of which 66.9%(350/523)were children with OSAHS.The average proportion of rapid eye movement sleep was 1.95%(7.7/394). The height of non-OSAHS group was significantly higher than that of OSAHS group[(108.72±16.39)cm vs.(104.80±16.60)cm, P=0.016]. The incidence of OSAHS decreased with age( P=0.038). The apnea index, hypopnea index, apnea hypopnea index, obstructive apnea index, microarousal index, oxygen desaturation index, mean apnea time, and longest apnea time in the OSAHS group were higher than those in the non-OSAHS group( P<0.05). And the lowest oxygen saturation and the mean oxygen saturation during sleep were lower than those in the non-OSAHS group( P<0.05). Logistic regression analysis on the clinical data of OSAHS children showed that open mouth breathing and snoring at night had significant effects on children′s OSAHS, and the differences were statistically significant( P<0.05). Conclusion:PSG is of great significance for the diagnosis of OSAHS.The more severe the degree of OSAHS, the worse severe the night sleep hypoxemia.PSG should be recommended before taking any treatment for children with sleep disorders.
