Life Quality Investigation After Adenoid Tonsillectomy In Young Children With OSAHS

ObjectiveTo analyze the changes in quality of life in children with obstruct ive sleep apnea-hypopnea syndrome(OSAHS)before and after surgery.MethodFrom June 2017 to December 2017,age?5 years old,due to sleep snoring,mouth breathing,mainly in the otolaryngology clinic of Hunan Children's Hospital,Polysomnography(PSG)confirmed children's OSAHS,appointment In 164 patients with adenoid-tonsillectomy(A&T),all cases were mild,moderate,and severe.The OSAHS disease-specific quality of life survey(OSA-18)was filled out by the guardian for the first time be fore surgery.The second OSA-18 scale was completed by telephone follo w-up from June to September.Two OSA-18 scales were used to indicate preoperative and postoperative outcomes.Paired-sample t-test,chi-square,o ne-way analysis of variance,and LSD analysis were used to investigate t he improvement of quality of life after A&T in children with younger O SAHS.Result1.This study included 164 children,118(72%)were males and 46(28%)were females.The approximate proportion was 3:1,the average ag e was 3.2 years,and the course of disease was about 6 months to 2 yea rs.The average duration was 1.18±0.67 years.The body mass index(B MI)was 12.5 to 17.79 kg/m~2,and the average BMI was 15.22±1.32 kg/m~2.2.Preoperative and postoperative OSA-18 scale total score,sleep dis order(S),physical condition(P),mood disorder(E),daytime function(D),degree of influence on guardian(C)The total scores of the dimensions were analyzed by paired-sample t-test.The postoperative scores were<p reoperative scores,and the difference was statistically significant(P<0.05).3.The total scores of the mild,moderate,and severe OSA-18 scale and the total scores of the five dimensions were analyzed by paired-samp le t-test.The postoperative scores were compared with the preoperative s cores,and the difference was statistically significant(P<0.05).The varianc e analysis was used to compare the difference(7)d(8)between the three gro ups.The difference was statistically significant(P<0.05).The LSD metho d was used to compare the two groups,mild<moderate<severe(P<0.05).4.The total score of OSA-18 scale and the total score of five dime nsions of allergic rhinitis,Merged Otitis Media With Effusion and no co mplications were analyzed by paired-sample t-test.The postoperative scor es were preoperative scores.Significance(P<0.05).Variance analysis com pared the difference between the three groups(d),except for the poor m ood of the difference(P>0.05),the difference of the remaining dimensio ns was statistically significant(P<0.05),using the LSD method for pairw ise comparison,to the guardian Influential dimension:combined with aller gic rhinitis<no complications(P<0.05);residual dimensions:combined with allergic rhinitis<no complications,Merged Otitis Media With Effus ion<no complications(P<0.05).Conclusion1.The overall quality of life of children with OSAHS is significantl y improved after A&T.2.The quality of life of children with mild,moderate,and severe O SAHS improved after A&T.The degree of improvement was mild to mo derate to severe.3.The quality of life of patients with allergic rhinitis,Otitis Media With Effusion and no complication was improved after A&T.The improv ement degree was:combined with allergic rhinitis<no complications;co mbined with Otitis Media With Effusion<no complications.