中国儿童OSAHS的PSG诊断特征：一项回顾性队列研究
PSG diagnostic features of OSAHS in Chinese children: a retrospective cohort study.
文献信息
| PMID | 42970961 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Li Wang |
| 作者单位 | Department of Pediatrics, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. |
| 期刊 | Brazilian journal of otorhinolaryngology |
| SCI 分区 | Q2 |
| IF | 2.1 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
目的： 评估PSG在诊断和描述儿童OSAHS的PSG特征方面的临床实用性。
方法： 于2024年1月至2025年6月实施了一项回顾性研究。共106名有睡眠相关症状的儿童接受了标准化整夜PSG。分析核心指标——呼吸暂停低通气指数（AHI）、最低血氧饱和度、睡眠效率、N3睡眠阶段比例（慢波睡眠比例）和觉醒指数。
结果： OSAHS组的AHI、ODI和觉醒指数较高，但N3比例和最低SpO2较低（均p < 0.05）。未观察到显著的年龄组差异（p > 0.05）。轻度OSAHS组的睡眠效率和最低SpO2较高，且觉醒次数少于中度/重度组（p < 0.05）。打鼾儿童与非打鼾儿童相比，OSAHS检出率显著更高（p < 0.05）。肥胖儿童的AHI、ODI和觉醒指数显著高于非肥胖儿童（p < 0.05）。
结论： PSG可客观反映儿童OSAHS的严重程度。OSAHS儿童常表现出睡眠结构紊乱和缺氧，这与日间功能损害相关。PSG结果可指导个体化治疗计划的制定。
英文摘要
OBJECTIVE: To evaluate the clinical utility of PSG in diagnosing and characterizing PSG features of OSAHS in children.
METHODS: A retrospective study was implemented from January 2024 to June 2025.A total of 106 children with sleep-related symptoms underwent standardized overnight PSG. Core indicators ‒ Apnea-Hypopnea Index (AHI), minimum oxygen saturation, sleep efficiency, N3 sleep stage proportion (slow-wave sleep ratio), and arousal index ‒ were analyzed.
RESULTS: The OSAHS group had higher AHI, ODI, and arousal index but lower N3 proportion and minimum SpO2 (all p < 0.05). No significant age-group differences were observed (p > 0.05). The mild OSAHS group showed higher sleep efficiency and minimum SpO2, and fewer arousals than moderate/severe groups (p < 0.05). OSAHS detection rate was significantly higher in snoring versus non-snoring children (p < 0.05). Obese children had significantly higher AHI, ODI, and arousal index than non-obese children (p < 0.05).
CONCLUSION: PSG objectively reflects OSAHS severity in children. Children with OSAHS commonly exhibit sleep architecture disruption and hypoxia, which are associated with daytime functional impairments. PSG results guide individualized treatment planning plans.