کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6221311 | 1607445 | 2015 | 6 صفحه PDF | دانلود رایگان |
ObjectiveTo explore the effects of obstructive sleep apnea syndrome (OSAS) on children's growth by the study of identical twins.Study designSeventeen cases of nonobese children with OSAS were included in this study. The control group was their identical twin sibling, who had no signs of OSAS. Data including height, weight, and serum insulin-like growth factor 1 levels were analyzed before tonsillectomy and adenoidectomy (T&A) and at 3, 6, and 12Â months after surgery.ResultsThe mean apnea hyponea index was 3.9 times/hour in patients with OSAS and became normal after surgery. Minimum oxygen saturation gradually increased after T&A. The height and weight of the OSAS group before T&A was lower than the control group. During the follow-up period, height and weight increased but were lower than the control group. Serum insulin-like growth factor 1 levels in the OSAS group before T&A were lower than the control group. The level was significantly increased 3Â months after T&A.ConclusionOSAS impairs growth and development. Significant growth recovery occurs after T&A, and early surgical intervention is an important factor for improvement in growth.
Journal: The Journal of Pediatrics - Volume 166, Issue 3, March 2015, Pages 646-650.e1