| Objectiv:1.To investigate the characteristics of SDB(sleep disordered breathing)polysomnography(PSG)monitoring in children of different types of obstructive diseases and the clinical behavior characteristics of school-age children;2.Effects of obstructive sleep disordered breathing on children’s sleep development.3.To explore the severity of children’s sleep disorders can be distinguished according to the score of Obstructive Sleep Disorder Scale for school-age children;Methods: This research institute made object in November 2018-February 2021 for children with sleep apnea visits in Yan‘an University Affiliated Hospital otolaryngology head and neck surgery,line 8h standard figure PSG guide more sleep at night,to see a doctor school-aged children(7 to 14)line of OSA-18 questionnaire and Epworth sleepiness scale score for clinical behavior analysis.They were grouped according to apnea hypopnea index(AHI)and mean blood oxygen saturation(Msp O2).The patients were divided into PS group(simple snoring group),UARS group(upper airway resistance syndrome group),OSAHSA group(mild obstructive sleep apnea hypopnea group),OSAHSB group(moderate obstructive sleep apnea hypopnea group)and OSAHSC group(severe obstructive sleep apnea hypopnea group).The characteristics of PSG monitoring reports in different groups of the whole age group were analyzed to clarify the clinical behavioral characteristics of school-age children with obstructive SDB,and the consistency between the sleep monitoring characteristics and the results of OSA-18 and ESS scales was discussed.SPSS22.0 row correlation statistical method was used for analysis.Results: 1.Age: comparison of PS-OSAHSA,PS-OSAHSB and PSOSAHSC groups,P=(0.012,0.014,0.016),P < 0.05,which was statistically significant;BMI: OSAHSCOSAHSA,OSAHSC-UARS group,P=(0.019,0.044),P < 0.05,with statistical significance,while the other groups,P > 0.05,had no statistical significance2.Comparison of sleep monitoring data showed that there was no significant statistical difference in sleep latency and its structure among all groups.There was no significant difference in total sleep duration and total sleep interval duration.In the proportion of total REM sleep time between OSAHSB group and UARS group,P=0.03,P < 0.05,showing statistical difference.N1 sleep ratio PS-OSAHSB P=0.002,PS-OSAHSC P=0.00,UARS-OSAHSB P < 0.001,UARS-OSAHSC P < 0.001,P < 0.05,showing statistical difference.In N2 sleep ratio,UARS-OSAHSB P=0.010,UARS-OSAHSC P=0.012,OSAHSA-OSAHSB P=0.002,OSAHSA-OSAHSC P=0.003,P <0.05,showing statistical difference.OSAHSA-OSAHSB P=0.008 in the proportion of N3 sleeping period.P < 0.05,with statistical difference;3.Microarousal times PS-OSAHSB P < 0.001,PS-OSAHSC P <0.001,UARS-OSAHSB P < 0.001,UARS-OSAHSC P < 0.001;OSAHSAOSAHSB P=0.002,OSAHSA-OSAHSC P < 0.001,P < 0.05,showing statistical difference;Microarousal index: PS-OSAHSB P < 0.001,PSOSAHSC P < 0.001,UARS-OSAHSB P < 0.001,UARS-OSAHSC P <0.001;OSAHSA-OSAHSB P=0.001,OSAHSA-OSAHSC P < 0.001,P <0.05,showing statistical difference;4.The number of central apnea and the number of mixed apnea monitored by overnight sleep,P < 0.001,< 0.05,showed statistically significant difference.The frequency of mixed apnea and obstructive apnea was consistent.The frequency of central apnea in PS group was less than that in the other four groups.The frequency of central apnea in the UARS group was less than that in the OSAHSC group.The frequency of mixed apnea in PS group was less than that in OSAHSB and OSAHSC group.The frequency of mixed apnea in the UARS group was less than that in the OSAHSB and OSAHSC groups,and the frequency of mixed apnea in the OSAHSA group was less than that in the OSAHSB and OSAHSC groups.The frequency of central apnea was compared with that of obstructive apnea(P=1,P< 0.05),which was not statistically significant.5.P=1.00,> 0.05 in the ODI(/ h)PS group and UARS group were not statistically significant,while P< 0.001,< 0.05 in the other groups were statistically significant.Oxygen reduction events(/ h)in the PS group and the UARS group(P=1.00,> 0.05)were not statistically significant,while those in the other groups(P < 0.001,< 0.05)were statistically significant.Maximum oxygen reduction(%): P =1.00 and >0.05 in PS group and UARS group,without statistical significance.OSAHSA and OSAHSB groups(P=0.0199,< 0.05)had no statistical significance.Other groups(P < 0.001,< 0.05)had statistical significance.The longest oxygen reduction time(seconds)in the PS group and OSAHSC group was P=0.003,< 0.05,which was statistically significant;in the UARS group and OSAHSC group,P=0.001,< 0.05,which was statistically significant.The > of the other groups was 0.05,and there was no statistical significance.In Msp O2 comparison,OSAHSA and OSAHSC group P=0.031,< 0.05,which was statistically significant.The > of the other groups was 0.05,and there was no statistical significance.6.Comparison of snoring frequency UARS-OSAHSA P=0.023,<0.05,which was statistically significant;UARS-OSAHSB P=0.000,<0.05,which was statistically significant;UARS-OSAHSC P=0.000,<0.05,which was statistically significant;There was no statistical significance(P > 0.05)in other groups.Mean snoring time UARSOSAHSB P=0.011,< 0.05,which was statistically significant;UARSOSAHSC P=0.003,< 0.05,which was statistically significant;There was no statistical significance(P BBB 0 0.05)in the other groups.The proportion of total duration of snoring in sleep UARS-OSAHSA P=0.013,< 0.05,which was statistically significant.UARS-OSAHSB P < 0.001,<0.05,which was statistically significant;UARS-OSAHSC P < 0.001,<0.05,which was statistically significant;There was no statistical significance(< 0.05,)in the other groups.7.Comparison of single leg movement times PS-OSAHSB P=0.027,< 0.05,which was statistically significant;PS-OSAHSC P=0.004,< 0.05,which was statistically significant;UARS-OSAHSB P=0.034,< 0.05,which was statistically significant;UARS-OSAHSC P=0.002,< 0.05,which was statistically significant;There was no statistical significance(P > 0.05)in other groups.Leg movement index PS-OSAHSB P=0.010,<0.05,which was statistically significant;PS-OSAHSC P=0.002,< 0.05,which has statistical significance;UARS-OSAHSB P=0.032,< 0.05,which was statistically significant UARS-OSAHSC P=0.003,< 0.05,which was statistically significant;There was no statistical significance <0.05)in the other groups.PS-OSAHSB P=0.046,< 0.05,which was statistically significant;PS-OSAHSC P=0.006,< 0.05,which was statistically significant;UARS-OSAHSB P=0.031,< 0.05,which was statistically significant;UARS-OSAHSC P=0.001,< 0.05,which was statistically significant;There was no statistical significance(P > 0.05)in other groups.The periodic leg movement index PS-OSAHSC P=0.031,< 0.05,which was statistically significant;UARS-OSAHSB P=0.007,<0.05,which was statistically significant;UARS-OSAHSC P=0.001,<0.05,which was statistically significant;OSAHSA-OSAHSC P=0.028,<0.05,which was statistically significant;There was no statistical significance(P > 0.05)in other groups.8.A total of 165 school-age children with diagnosed obstructive SDB were selected.OSA-18 scale scores ranged from 18 to 112,including 40 patients with ≥80 scores,32 patients with 60-80 scores and93 patients with ≤60 scores.Most of the 165 children had an ESS score of-4 to 0,with scores ranging from 0 to 14,and daytime sleepiness was defined as a score of 9 or more.Eleven children had a score of ≥9,which could be evaluated as daytime sleepiness.Conclusion: 1.Children with obstructive sleep-disordered breathing were transferred to each other for development,and there were great differences in nighttime polysomnography(PSG)monitoring in different types.2.Obstructive sleep-disordered breathing disease can affect children’s normal sleep rhythm and sleep cycle,the total sleep duration,sleep structure and sleep incubation period of children with each course of the disease are not different.3.The scale analysis of children with school-age obstructive sleep disorder can only objectively evaluate the clinical symptoms of children,which is independent,and can not be used as a diagnostic standard to grade the degree of obstructive sleep disorder. |
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