Investigation Of Behavioral Problems In Children With Obstructive Sleep Apnea Hypopnea Syndrome

Objective: Sleep apnea hypopnea syndrome (OSAHS) in children with preoperative andpostoperative behavioral situation, explore the surgery suspended for obstructive sleep apneahypopnea syndrome (OSAHS) in children with behavioral condition improved,obstructionsleep apnea hypopnea syndrome (OSAHS) underwent surgery in children andprovide a theoretical basis.Experimental methods: Randomly collected from April2010to80cases of children withOSAHS in January2012, Nanjing Medical University Affiliated Hospital ofOtorhinolaryngology Head and Neck Surgery, hospitalization parallel surgery (tonsils and/oradenoidectomy surgery), preoperative polysomnography (PSG) monitoring, Achenlach childbehavior test checklist (CBCL) tests, and course of statistics, and in consultation with thefamilies of children with Nursing and postoperative six months later hospital referral, re-linemulti-sleep detection (PSG) monitoring, Achenlach childrentest Checklist (CBCL) and theduration of the test statistics, the experimental group and the clinical diagnosis of surgicaltreatment for children, OSAHS and80cases of children, aged2to11years of age; controlgroup for the same group of children before surgery (80cases) and healthy children (80cases).General questionnaire, the Achenbach Child Behavior Checklist (CBCL), were recorded threesets of indicators of children’s physical growth and mental capacity of the test results andexperimental data were statistically analyzed using SPSS13.0statistical software.Results:①With OSAHS in children with postoperative behavioral abnormalitiesoccurred was8.06%, with the the OSAHS preoperative control group (39.22%) compared to p<0.05, the difference was statistically significant; and healthy children control group (7.69%) compared to p>0.05, the difference was not statistically significant.②With OSAHS childrenafter behavioral problems was significantly lower than the OSAHS children with preoperativecontrol group, which acts roughly divided into the following behavior scores of the differencewas statistically significant (p <0.05):4~5-year-old boy mainly in the depression, childish,immature, schizoid, attack, to discipline the behavior of five factors;4to5-year-old girl,mainly in social withdrawal, attack, hyperactivity three behavioral factors;6to11-year-oldboy in the schizoid, depression, bad contacts, forced sex, social withdrawal, hyperactivity,attacks, and discipline of eight behavioral factors;6to11-year-old girl manifested indepression, social withdrawal, hyperactivity, sexual attacks, six acts of cruelty factor. OSAHSafter surgery children’s group in the behavior of the total coarse points and the behavior factorscores were lower than the OSAHS children group, p <0.05, statistically significant; withOSAHS after surgery children’s group in the behavior of the total coarse points and thebehavior factor with minor higher than the normal children group, p>0.05, not statisticallysignificant.③With OSAHS children’s behavioral problems after rough segmentation toincrease with the duration of the extension, p>0.05, not statistically significant.Conclusion：①With OSAHS children after surgery group and OSAHS children’ssurgery, the former group there is abnormal behavior, but the severity of the postoperativegroup of children with behavioral problems is far lower than the preoperative group ofchildren, with no significant difference in the behavior of normal children group status.②With OSAHS children after surgery improved behavior between different sexes and differentages there are still differences, but no statistically significant treatment by statistical software.③With OSAHS children after surgery group behavior of the degree of improvement with theaggravation of the disease and the extension of the course is relatively reduced, therefore theOSAHS in children should be treated surgically as soon as possible, so that children withbehavioral improvement in the state.