文章摘要

腺样体肥大对儿童睡眠质量及生长发育的影响

作者: 1齐素青, 1王宏伟, 2刘朝兵, 1张晶晶, 2董文鑫, 3李会娜
1 河北省眼科医院口腔正畸科，河北 邢台 054001
2 河北省眼科医院耳鼻喉科，河北 邢台 054001
3 邢台市人民医院儿科，河北 邢台 054001
通讯: 齐素青 Email: qsq7615038@163.com
DOI: 10.3978/j.issn.2095-6959.2022.07.023
基金: 河北省医学科学研究课题计划项目(20211079)。

摘要

目的：分析腺样体肥大(adenoid hypertrophy，AH)对儿童睡眠质量和生长发育的影响。方法：选取符合纳入标准的AH儿童46例(男24例，女22例)作为研究组。选取同时期腺样体正常的儿童48例(男25例，女23例)作为对照组。两组患儿均拍摄头颅侧位片、测量身高、评估睡眠质量和检测胰岛素样生长因子(insulin-like growth factor-1，IGF-1)及胰岛素样生长因子结合蛋白(insulin-like growth factors binding protein-3，IGFBP-3)。结果：研究组患儿的身高、IGF-1[(179.78±22.54) ng/mL]和IGFBP-3[(5.38±0.77) μg/mL]明显低于对照组(P<0.05)。研究组患儿上气道较窄，睡眠质量显著低于观察组(P<0.05)。结论：AH引起上呼吸道狭窄，改变儿童的呼吸方式和功能，从而影响其睡眠质量和正常生长发育。
关键词： 腺样体肥大；上气道；睡眠质量；生长发育；口呼吸

Effects of adenoid hypertrophy on sleep quality, growth and development of children

Authors: 1QI Suqing, 1WANG Hongwei, 2LIU Chaobing, 1ZHANG Jingjing, 2DONG Wenxin, 3LI Huina
1 Department of Orthodontics, Eye Hospital of Hebei, Xingtai Hebei 054001, China
2 Department of Otolaryngology, Eye Hospital of Hebei, Xingtai Hebei 054001, China
3 Department of Pediatrics, Xingtai People’s Hospital, Xingtai Hebei 054001, China

CorrespondingAuthor: QI Suqing Email: qsq7615038@163.com

DOI: 10.3978/j.issn.2095-6959.2022.07.023

Foundation: This work was supported by the Hebei Medical Science Research Project, China (20211079).

Abstract

Objective: The purpose of this study was to analyze the effects of adenoid hypertrophy (AH) on sleep quality and growth and development of children. Methods: Forty-six children (24 males and 22 females) with AH who met the inclusion criteria were enrolled in the research group. Forty-eight children (25 males and 23 females) with normal adenoids over the same period were selected in the control group. In both groups, lateral cephalometric radiographs were taken, height was measured, sleep quality was assessed and insulin-like growth factor-1 (IGF-1) and insulin-like growth factors binding protein-3 (IGFBP-3) were measured. Results: The height, IGF-1 [(179.78±22.54) ng/mL] as well as IGFBP-3 [(5.38±0.77) μg/mL] of the children in the research group were significantly lower than those in the control group (P<0.05). The upper airway of the children in the research group was narrower (P<0.05), and sleep quality in the research group was significantly lower than that in the control group (P<0.05). Conclusion: AH can change a child’s breathing mode and function by giving rise to upper airway stenosis, thus disrupting their normal growth and development.

Keywords： adenoid hypertrophy; upper airway; sleep quality; growth and development; mouth breathing

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