Objective

The purpose of this study was to assess the effects of adenotonsillectomy (A&T) on reducing central sleep apnea (CSA) in children and adolescents with obstructive sleep apnea (OSA).

Methods

A review of the PubMed database was conducted. Two researchers independently reviewed the articles from the literature search and selected papers for further review if they met inclusion criteria. Included studies were prospective studies and case series whose patients were children 18 years or younger undergoing adenotonsillectomy for obstructive sleep apnea with reported pre and postoperative central apnea indexes (CAI).

Results

Of the 107 articles initially identified, 18 underwent full length review, and ultimately 15 for final review. All studies reported marked improvement of central sleep apnea indexes after adenotonsillectomy. Two studies found resolution of CSA in 66.7 % and 73.7 % of patients respectively. The remaining four studies found significant reductions in CAI in 43.9 %–93 % of patients. The degree of reduction varied from 40.9 % to 80 %.

Discussion

Adenotonsillectomy improves and at times resolves CSA in pediatric patients with concomitant OSA.

中文翻译：

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腺样体扁桃体切除术对中枢性睡眠呼吸暂停的影响：范围界定综述

客观的

本研究的目的是评估腺样体扁桃体切除术(A&T) 对减少患有阻塞性睡眠呼吸暂停 (OSA) 的儿童和青少年中枢性睡眠呼吸暂停 (CSA) 的影响。

方法

对 PubMed 数据库进行了审查。两名研究人员独立审查了文献检索中的文章，并选择符合纳入标准的论文进行进一步审查。纳入的研究为前瞻性研究和病例系列，患者为因阻塞性睡眠呼吸暂停而接受腺样体扁桃体切除术的 18 岁或以下儿童，并报告了术前和术后中枢呼吸暂停指数 (CAI)。

结果

在最初确定的 107 篇文章中，18 篇经过了全面审查，最终 15 篇进行了最终审查。所有研究均报告腺样体扁桃体切除术后中枢性睡眠呼吸暂停指数显着改善。两项研究发现 CSA 的缓解率分别为 66.7% 和 73.7%。其余四项研究发现 43.9%–93% 的患者 CAI 显着降低。减少程度从 40.9% 到 80% 不等。

讨论

腺样体扁桃体切除术可改善并有时解决伴有 OSA 的儿科患者的 CSA。