ÇOCUKLARDA OBSTRÜKTİF UYKU APNE SENDROMU SEMPTOMLARI VE İLİŞKİLİ FAKTÖRLER

Yıl 2018, Cilt: 2 Sayı: 2, 73 - 82, 02.05.2018

Seher Sarıkaya Karabudak , Filiz Adana , Nurdan Gezer , Safiye Özvurmaz

Öz

           Amaç:
Türkiye'de yaşayan çocuklarda Obstrüktif Uyku Apne Sendromu semptomlarını ve ilişkili
faktörleri belirlemektir.

          Yöntemler:
Bu kesitsel tanımlayıcı çalışma 114 çocukla (1-18 yaş) gerçekleştirildi. Veri
toplamada Tanıtıcı Anket Formu, Modifiye Mallampati Skoru ve Modifiye Epworth
Uykululuk Ölçeği kullanılmıştır.

           Bulgular:
Obstrüktif Uyku Apne Sendromu semptomları sırasıyla; %36,8'inde uykusuzluk
hissi, %26,3'ünde horlama, %22,8'inde sık uykudan uyanma, %21,1'i gündüz uyanık
kalmada zorluk, %13,2'sinde sabah baş ağrısı, %11,4'ünde sık idrara çıkma ve
%3,5’inde apne şeklinde saptanmıştır. Modifiye Mallampati Puanına göre
çocukların %14,9'u Obstrüktif Uyku Apne Sendromu riski taşıyan grubu
oluşturmaktadır. Çocukların %2,63'ünün gündüz aşırı uykululuk hali sorunu
olduğu ve modifiye Epworth Uykululuk Ölçeği puanının erkek ve sigara içenlerde
anlamlı olarak yüksek olduğu belirlenmiştir.

           Sonuç:
Çocukların yaklaşık %15'inin Obstrüktif Uyku Apne Sendromu riski taşıdığı ve en
sık karşılaşılan semptomların sırasıyla; uykusuzluk hissi, horlama, gündüz
uyanık kalmada zorluk çekme, uykudan sık uyanma, sabah baş ağrısı, apne ve gece
sık idrara çıkma olduğu saptanmıştır. Çocukların %2,63'ünde gündüz aşırı uykululuk
hali sorunu olduğu ve bu sorunun  erkeklerde ve sigara içenlerde daha yüksek
olduğu saptanmıştır.

Anahtar Kelimeler

Uyku, Apne, Sendrom, Çocuk

OBSTRUCTUIVE SLEEP APNEA SYNDROME: SYMPTOMS AND ASSOCIATED FACTORS IN CHILDREN

Öz

Objective: To determine the symptoms of
Obstructive Sleep Apnea Syndrome(OSAS) and the associated factors in children
living in Turkey.

Methods: This cross sectional descriptive study was conducted with 114 children
(aged 1-18). Introductory Questionnaire Form, Modified Mallampati Score and modified
Epworth Sleepiness Scale were
used in the data collection process. 

Results:
The symptoms of OSAS
were respectively determined as follows; having a sleepless mood in 36.8%,
snoring in 26.3%, frequent awakings from sleep in 22.8%, having a difficulty in
keeping awake in the daytime in 21.1%, morning headaches in 13.2%, frequent
urinatings at night in 11.4% and apnea in 3.5%. According to the modified Mallampati Score, 14.9% of children comprise
the group with a risk of OSAS. It was determined that 2.63% of children
had the problem of excessive daytime sleepiness(EDS) and the score of modified
Epworth Sleepiness Scale was
significantly higher in boys and smokers.

Conclusion: It was determined that approximately 15% of
children had the risk of Obstructive Sleep Apnea Syndrome and the most frequent
symptoms were respectively as follows; having a sleepless mood, snoring,
frequent awakings from sleep, having a difficulty in keeping awake in the
daytime, morning headaches, frequent urinatings at night and apnea. It was also
determined that EDS was observed in 2.63% of children and it was higher in boys
and smokers. 

Anahtar Kelimeler

Sleep, Apnea, Syndrome, Child

Kaynakça

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