Correlation Between Sleep Structure And Quality Of Life In OSAHS Children

BackgroundIn recent years,children’s sleep problem has been widely concerned.Not only clinicians pay attention to it,but also more and more parents realize the importance of children’s sleep problem.Children’s sleep problems are mainly manifested as obstructive sleep disordered breathing,which has an important impact on children’s growth,physical and mental health.Previous studies and experiments mostly focused on the pathology,clinical manifestations and complications of sleep disordered breathing,but few studies on the influence of children’s sleep structure on their quality of life.This study focuses on the influence of sleep structure of children with obstructive sleep disorder on their quality of life,providing more basis and guidance for clinical diagnosis and health education of children’s sleep.ObjectiveTo study the effect of obstructive sleep apnea hypopnea syndrome(OSAHS)on sleep structure and quality of life,and the correlation between sleep structure and quality of life.MethodsFrom May 2019 to November 2019,our department routinely monitored children’s sleep with snoring and / or breath opening as the main complaint,and asked their parents to fill in the quality of life questionnaire(OSA-18).After monitoring,read the sleep monitoring report and calculate the score of the questionnaire.In this retrospective study,106 cases,69 males and 37 females,aged from 3 to 10 years,with an average age of 6.14± 2.15 years,were in line with the draft guidelines for diagnosis and treatment in Urumqi.According to the diagnostic criteria of OSAHS in the draft guideline of diagnosis and treatment in Urumqi,the cases were divided into three groups: light,medium andheavy.There were 36 cases in mild group,35 cases in moderate group and 35 cases in severe group and perform the following analysis:1.The differences of sleep parameters(sleep efficiency,REM incubation period,N3 + REM period in the percentage of sleep time)between the groups were compared.2.The differences of "sleep disorder","physical symptoms","poor mood","daytime condition" and "influence on Guardian" in OSA-18 were compared.3.The percentage of N3 + REM sleep time in severe group was compared with five dimensions in OSA-18.Results1.In terms of sleep parameters,there was no significant difference between the mild group and the moderate group(p > 0.05),and there was significant difference between the severe group and the mild group and the moderate group(p < 0.01).2.In terms of quality of life,there was no significant difference between the mildgroup and the moderate group(p > 0.05),and there was significant difference between the severe group and the mild group and the moderate group(p ≤ 0.01).3.In severe group,the percentage of N3+REM phase in sleep time and the correlation coefficient of “sleep disorder” in OSA-18 were r=-0.500,p=0.002,the correlation coefficient with “physical symptoms” was r=-0.463,p=0.005,the correlation coefficient with “bad mood” was r=-0.441,p=0.008,the correlation coefficient with “daytime condition” was r=-0.084,p=0.633,the correlation coefficient with “influence on Guardian”r=-0.659,p= 0.000.Conclusion1.Severe OSAHS seriously affects the sleep structure and quality of life of children.2.The less the proportion of deep sleep time,the more serious the children’s sleep disorder,physical symptoms and poor mood,the greater the impact on the guardian.