Effect of treating obstructive sleep apnea-hypopnea syndrome on chronic cough in children / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
;
(12): 586-591, 2017.
Article
Dans Chinois
| WPRIM
| ID: wpr-809145
ABSTRACT
Objective@#To understand the effect of treating obstructive sleep apnea hypopnea syndrome (OSAHS) on chronic cough in children.@*Methods@#A total of 100 consecutive children with OSAHS diagnosed by polysomnography(PSG) and chronic cough were included in this study. All children underwent cough condition assessment, OSA-18 scales and MS-IOS before and after surgery, and all children were followed-up for 3 months. Children were separated into three groups according to the severity of OSAHS. Related parameters like Zr, Rf, R5, R20, X5, X35, Rc, Rp obtained from MS-IOS, OSA-18 scores and cough scores were compared between different groups using paired t-test or Wilcoxon sum test.@*Results@#There existed significantly positive correlations between AHI and scores of OSA-18(r=0.653, P<0.01). AHI positively related to cough scores including diurnal(r=0.470, P<0.01)and nocturnal cough scores(r=0.459, P<0.01). Scores of OSA-18 had similarity in correlations with diurnal(r=0.527, P<0.01)and nocturnal cough scores(r=0.532, P<0.01). All children got improved in OSA-18 scales and cough scores after treatment. In details, the three groups were mild group(n=34), moderate group(n=37), severe group(n=29). OSA-18 scales decreased dramatically in each group after surgery, Z values were -5.014, -5.035, -4.624 respectively(P=0.000). Cough scores in day and night got reduced after treatment, Z values were -5.112, -5.102, -5.394, -5.374, -4.777, -4.770 in three groups. Rp in all children got alleviated after surgical management, Z were -3.150, -5.035, -5.374(P=0.000). Other parameters were analyzed using paired t test. Z5, R5, R20, R35 got reduced in all three groups.X5 got reduced in mild and moderate groups. Rc reduced only in the moderate group.@*Conclusions@#OSAHS may be a trigger or inducer of chronic cough. Active treatment of OSAHS via surgery can improve the quality of children′s life and alleviate the symptoms of cough in day and night.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
langue:
Chinois
Texte intégral:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Année:
2017
Type:
Article
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