ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ BIẾN CHỨNG NGỦ NGÁY, NGƯNG THỞ KHI NGỦ Ở TRẺ EM CÓ VIÊM V.A VÀ/HOẶC VIÊM AMIĐAN MẠN TÍNH BẰNG PHẪU THUẬT

Abstract

Background: Complications such as snoring and sleep apnea in children with chronic tonsillitis and/and adenoiditis, which greatly affect the child's quality of life. The objective of this study is to evaluate the clinical characteristics as well as the effectiveness of surgical treatment in a group of patients adenoiditis and tonsillitis with snoring, sleep apnea. Materials and Methods: Prospective, descriptive, clinical intervention including 32 patients with snoring, sleep apnea complications, undergoing tonsillectomy and/or adenoidectomy. Results: Before surgery, 32/32 patients had sleep apnea, snoring 93.8%, sore throat 87.5%, cough 59.4%, runny nose 68.8%, nasal congestion 53.1%. Tonsil hyperplasia grade III accounts for the highest rate of 50% and adenoid hyperplasia grade II accounts for 40.6%, the average age is 6.3-2.5, there are more men than women, average AHI is 8,67 ± 6,11. The level of AHI and snoring positively correlates with the degree of tonsil and adenoid hyperplasia. After surgery, snoring and sleep apnea are both improved. Conclusion: Snoring, sleep apnea in children need to be detected early and treated promptly, and tonsillectomy and adenoidectomy are effective.