小児の睡眠時呼吸障害とアデノイド及び口蓋扁桃肥大の関連

概要

論文の詳細を見る
Criterion for diagnosing sleep breathing disorders is well defined in adult patients but not in pediatric patients. We conducted a study correlating the clinical symptoms and clinical findings with adenoid and palatine tonsil hypertrophy using a series of 52 pediatric sleep breathing disorders. The aim of this study is to obtain useful information for defining diagnostic criterion for this patient group. Patients were classified as group A when the hypertrophy is only seen in adenoid or palatine tonsils. Patients were classified as group B when the hypertrophy is seen in both adenoid and palatine tonsils. There were no statistical differences between group A and B regarding the clinical symptoms (snoring or apnea) and minimum oxygen saturation, however, chest deformity and retracted breathing were obviously observed in the group B in comparison with A. We concluded that hypertrophy of adenoid or palatine tonsil alone can cause sleep breathing disorders. Furthermore, the combination of adenoid and palatine tonsil hypertrophy might cause severe degree growth disorders.
愛知医科大学の論文
2005-06-10