A Comparative Study Of Different Types Of Adenoid Hypertrophy In Polysomnography

Objective:The aim of this study was to investigate four different types of adenoid hypertrophy in PSG(includingLSaO2,AHI and CAI),analyzed the PSG characteristics of different syndromes of adenoid hypertrophy.Methods:This study includes 102 cases diagnosed as AH among children 2to9 years old(included)from hospital,China,with "snoring" as the main complaint,tonsil Visual Diagnosis<Ⅲ,through nasal endoscopy diagnosed as adenoid hypertrophy,according to the relevant symptoms,endoscopic manifestations and tongue coating pulse,by two physician for syndrome differentiation,divided into lung and spleen gas deficiency,Lung and Kidney yin deficiency,gas and blood stasis resistance and phlegm coagulation blood stasis four syndromes,the use of PSG for the children of the night sleep monitoring,before the examination of the prohibition of tea,coffee and sedatives.To observe the different types of TCM syndromes of children,the relevant indicators of PSG,using spss20.0 statistical software for statistical analysis.Results:1)Among the 102 children included in the standard,68 were male,34 were female,and the prevalence of men was significantly higher than that of women(P<0.01);2)According to TCM syndrome differentiation,there were 22 cases of deficiency of lung and spleen gas,30 cases of deficiency of lung and kidney yin,20 cases of gas and blood stasis and 30 cases of phlegm and blood stasis.Among them,52 cases of Deficiency syndrome of TCM and 50 cases of Excess syndrome of TCM;3)The adenoidal hypertrophy of four TCM syndromes has no significant difference in the size of the adenoids itself(P>0.05),but there is difference in the size of the adenoids among Deficiency syndrome and Excess syndrome of TCM(P<0.05);4)There is significant difference in LSAO2 between Deficiency syndrome and Excess syndrome of TCM(P<0.01),the data of phlegm and blood stasis in LSAO2 is lower than lung and spleen gas deficiency and lung and kidney yin deficiency(P<0.01),and the data of gas and blood stasis in LSAO2 is lower than lung and kidney yin deficiency(P<0.05);5)There is significant difference in AHI between deficiency syndrome and Excess syndrome of TCM(P<0.01),the data of phlegm and blood stasis in AHI is higher than lung and spleen gas deficiency and lung and kidney yin deficiency(P<0.01);6)There is significant difference in CAI between deficiency syndrome and Excess syndrome of TCM(P<0.05),there is no significant difference in CAI among four kinds of syndromes(P>0.05),Conclusion:1).The adenoidal hypertrophy of four TCM syndromes has no significant difference in the size of the adenoids itself,but there is difference in the size of the adenoids between deficiency syndrome and excess syndrome of TCM);2)The data of excess syndrome in LSAO2 is lower than deficiency syndrome,the data of phlegm and blood stasis in LSAO2 is lower than lung and spleen gas deficiency and lung and kidney yin deficiency,and the data of gas and blood stasis in LSAO2 is lower than lung and kidney yin deficiency,but there is no significant difference in LSAO2 between lung and spleen gas deficiency and lung and kidney yin deficiency.3)The data of excess syndrome in AHI is higher than deficiency syndrome,the data of phlegm and blood stasis in AHI is higher than lung and spleen gas deficiency and lung and kidney yin deficiency,but there is no significant difference in AHI between lung and spleen gas deficiency and lung and kidney yin deficiency,also as phlegm and blood stasis and gas and blood stasis.4)The data of excess syndrome in CAI is higher than deficiency syndrome,but there is no significant difference among four kinds of syndromes.In summary,excess syndrome of adenoid hypertrophy is severer than deficiency syndrome in LSAO2 and AHI,in which phlegm and blood stasis is more prominent,also excess syndrome of adenoid hypertrophy is more likely to occur central apnea index.As a result,the patient’s condition is more complex.In clinic,the children with phlegm and blood stasis and gas and blood stasis should be paid special attention to the early PSG examination,and actively carry on the related symptomatic treatment.