[Influence on antidiuretic hormone secretion in children with obstructive sleep apnea hypopnea syndrome].
OBJECTIVE
To explore the influence of obstructive sleep apnea hypopnea syndrome (OSAHS) in children on the secretion of antidiuretic hormone (ADH).


METHODS
Thirty pediatric patients with OSAHS were examined with polysomnography (PSG) and urinary volume was recorded during sleep, and vein blood was sampled in deep sleep to detect the level of ADH in serum using radioimmunoassay technique, which were performed before and after adenotonsillectomy. Among twenty heath children were also detected the secretion of ADH as normal controls.


RESULTS
After surgery, apnea-hypopnea index (AHI) decreased (from 17.4 +/- 2.6 to 3.3 +/- 1.4, t = 27.68, P < 0.001), lowest SaO2 increased (from 0.783 +/- 0.134 to 0.954 +/- 0.062, t = 6.45, P < 0.001). The level of ADH in OSAHS patients (63.1 +/- 35.2) ng/L was much lower than that in health children (85.1 +/- 22.2) ng/L (t = 2.75, P < 0.01). The serum ADH level in postoperative patients (83.1 +/- 21.2) ng/L was increased significantly compared with that of preoperative (t = 2.56, P < 0.05), and no statistical difference versus that of health children (t = 0.17, P > 0.05). Nycturia volume of preoperative OSAHS children (492 +/- 90) ml was significant higher than that of postoperative (332 +/- 56) ml or normal controls (346 +/- 62) ml (t was 7.85 and 6.43, both P < 0.001). There was no significance in nycturia volume between postoperative group and control group (t = 0.77, P > 0.05).


CONCLUSIONS
After adenotonsillectomy in children with OSAHS caused by adenotonsillar hypertrophy, the sleep pattern and ADH secretion could become normal.
Yue
Zhi-Yong
ZY
Department of Otorhinolaryngology, Shandong Provincial Hospital, Shandong University, Jinan 250021, China.
Wang
Ming-Ming
MM
Li
Hong
H
Li
Yu-Ming
YM
Yu
Yong-Hui
YH
Wang
Hai-Bo
HB
D000233:Adenoidectomy; D016022:Case-Control Studies; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D017286:Polysomnography; D011141:Polyuria / Q000209:etiology; D020181:Sleep Apnea, Obstructive / Q000097:blood* / Q000503:physiopathology / Q000601:surgery / Q000652:urine; D014068:Tonsillectomy; D014667:Vasopressins / Q000097:blood*
D014667:Vasopressins