ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA TRẺ MẮC HỘI CHỨNG NGỪNG THỞ KHI NGỦ DO TẮC NGHẼN CÓ AMYĐAN - VA QUÁ PHÁT

Abstract

Background: Obstructive sleep apnea syndrome (OSAS) in children causes serious and longterm consequences, such as: retardation, disability in learning and remembering, depression, or hyperactivity, even sudden death. At least 80 percent of children with OSAS are unknown. We started this study with the specific aim: describing clinical and para-clinical features of children with hypertrophy of tonsil and/or adenoid. Methodology: This is an observation study on 114 OSAS children with hypertrophy of tonsil and/or adenoid at National hospital for children from June 2017 to August 2019. Result: The mean age was 5,5 years old. The oldest patient was 12 years old while the youngest one was 2.5 years old. Mean height was 113.9 cm; and mean weight was 22.7kg; mean BMI was 16,9kg/m2. The most common symptom was snoring (3,3thở miệng (2,7). Mean AHI was 12,6 ± 11.2 attacks per hour, classified as severe. Min SpO2 was 75.7 ± 13.7%. The most common symptom was snoring, observed OSAS attack, thở miệng, ngạt mũi. Mean AHI was 12,6 ± 11.2 attacks per hour, classified as severe. Combining chỉ số ngừng thở, giảm thở and SpO2 plays a key role in assessing OSAS severity and selecting treatment approaches. Conclusion: Among OSAS children with hypertrophy of tonsil and/or adenoid, the most common symptoms are snoring, sleep apnea, nasal obstruction, and mouth breathing. The mean AHI was 12.6±11.2 strikes/hour in severe level. The combination of apnea index, hypoventilation and blood oxygen saturation plays an important role in assessing the severity of the disease and choosing treatment methods.