关键词: 睡眠呼吸障碍, 儿童, 生活质量, 多导睡眠监测, 腺样体扁桃体切除术

Abstract: Objective To evaluate the improvement in quality of life(QOL)for children before and after adenoidectomy and tonsillectomy. Method In a prospective controlled trial,questionnaire of disease-specific quality of life for children with obstructive sleep apnea 18 items survey(OSA-18) was used to evaluate QOL in 61 children with obstructive sleep apnea hypoprea syndrome (OSAHS) diagnosed by polysomnography (PSG) before and after surgical operation. Result OSA-18 investigation showed,the 18 items and 5 items in additional sleep problem had been markedly improved within 3~6 months after surgery. Conclusions The clinical symptoms of children with OSAHS diagnosed by PSG within 3~6months after surgery have been evidently improved,also quality of life markedly improved.Adenotonsillectomy can greatly improve the quality of life of children with OSAHS.OSA-18 can be valuable assessment tool in clinical diagnosis and treatment follow up.

Key words: sleep-disordered breathing, children, quality of life, polysomnograpy, adenotonsillectomy