소아의 폐쇄성 수면무호흡 증후군과 일차성 코골이의 감별임상양상 및 행동장애 비교 (Discrimination between obstructive sleep apnea syndrome and primary snoring in children : comparison of clinical parameters and behavioral disturbance)

서지정보

· 발행기관 : 대한소아청소년과학회
· 수록지 정보 : Clinical and Experimental Pediatrics / 51권 / 3호 / 267 ~ 276페이지
· 저자명 : 서현주, 이재숙, 신홍범, 김의중, 심현준, 안영민

초록

Purpose:To determine whether primary snoring could be distinguished from obstructive sleep apnea syndrome (OSAS) by clinical evaluation and symptom scores.
Methods:56 snoring and 20 asymptomatic subjects were recruited and polysomnography was used to confirm that there were 39 OSAS, 17 primary snoring, and 20 control subjects. We evaluated the size of the childrens adenoids and tonsils. Parents completed sleep disordered breathing scale (SDBS) and obstructive sleep apnea 18 (OSA-18) questionnaires for use as symptom scores, as well as an attention deficit hyperactivity disorder rating scale-IV (ADHD RS-IV).
Results:There were no differences between primary snoring and OSAS in terms of tonsil and adenoid size, SDBS (9.4±4.6 vs 10.8±4.5), and OSA-18 score (61.1±25.1 vs 71.2±8.4). The patients with OSAS (15.8±7.9) and PS (22.2±9.4) had a higher ADHD RS-IV score than the control subjects (2.9±3.3). There was no difference in the ADHD RS-IV scores of patients with primary snoring and OSAS.
Conclusion:We confirmed that clinical evaluation could not distinguish OSAS and primary snoring. In addition, our study suggests that primary snoring as well as OSAS is associated with attention deficit hyperactivity disorder. (Korean J Pediatr 2008;51:267-275)

영어초록

Purpose:To determine whether primary snoring could be distinguished from obstructive sleep apnea syndrome (OSAS) by clinical evaluation and symptom scores.
Methods:56 snoring and 20 asymptomatic subjects were recruited and polysomnography was used to confirm that there were 39 OSAS, 17 primary snoring, and 20 control subjects. We evaluated the size of the childrens adenoids and tonsils. Parents completed sleep disordered breathing scale (SDBS) and obstructive sleep apnea 18 (OSA-18) questionnaires for use as symptom scores, as well as an attention deficit hyperactivity disorder rating scale-IV (ADHD RS-IV).
Results:There were no differences between primary snoring and OSAS in terms of tonsil and adenoid size, SDBS (9.4±4.6 vs 10.8±4.5), and OSA-18 score (61.1±25.1 vs 71.2±8.4). The patients with OSAS (15.8±7.9) and PS (22.2±9.4) had a higher ADHD RS-IV score than the control subjects (2.9±3.3). There was no difference in the ADHD RS-IV scores of patients with primary snoring and OSAS.
Conclusion:We confirmed that clinical evaluation could not distinguish OSAS and primary snoring. In addition, our study suggests that primary snoring as well as OSAS is associated with attention deficit hyperactivity disorder. (Korean J Pediatr 2008;51:267-275)

참고자료

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