Seher SARIKAYA KARABUDAK, Filiz ADANA, Nurdan GEZER, Safiye ÖZVURMAZ

ÇOCUKLARDA OBSTRÜKTİF UYKU APNE SENDROMU SEMPTOMLARI VE İLİŞKİLİ FAKTÖRLER

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

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.

Keywords:

Sleep, Apnea, Syndrome, Child,

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