广西医学2023，Vol.45Issue(19)：2331-2334,2360,5.DOI:10.11675/j.issn.0253-4304.2023.19.07
打鼾儿童发生OSAS的影响因素及列线图预测模型构建
Influencing factors for the occurrence of OSAS in snoring children and the establishment of nomogram prediction model
摘要
Abstract
Objective To explore the risk factors for the occurrence of obstructive sleep apnea syndrome(OSAS)in snoring children,and to establish a nomogram prediction model.Methods A total of 175 snoring children were selected,and they were divided into snore symptom group(n =122)or OSAS group(n =53)according to the results of polysomnography.The clinical data were compared between children of the two groups.The risk factors for snoring children suffering from OSAS were analyzed by using the multivariate Logistic regression model.The nomogram prediction model was established and validated by employing the rms package of R 3.6.3 software.Results There were statistically significant differences in body mass index,and statuses of tonsil hypertrophy,adenoid hypertrophy,obesity,tobacco exposure,as well as history of rhinitis/sinusitis,and family history of snoring between the two groups(P<0.05).The results of multivariate Logistic regression analysis revealed that obesity,tonsil hypertrophy,adenoid hypertrophy,the presence of rhinitis/sinusitis history were the risk factors for snoring children suffering from OSAS(P<0.05).The nomogram prediction model established based on the aforesaid risk factors exerted favorable discrimination,calibration,and fitting degree,with predictive value for snoring children suffering from OSAS to a certain extent.Conclusion Obesity,tonsil hypertrophy,adenoid hypertrophy,the presence of rhinitis/sinusitis history are the risk factors for snoring children suffering from OSAS,and the nomogram prediction model established based on the aforementioned risk factors exerts predictive value for snoring children suffering from OSAS to a certain extent.关键词
打鼾/阻塞性睡眠呼吸暂停综合征/影响因素/列线图预测模型/儿童Key words
Snoring/Obstructive sleep apnea syndrome/Influencing factors/Nomogram prediction model/Children分类
医药卫生引用本文复制引用
赵启君,王文媛,李万怡,王舒颖,王永军,张涛..打鼾儿童发生OSAS的影响因素及列线图预测模型构建[J].广西医学,2023,45(19):2331-2334,2360,5.基金项目
甘肃省科技计划项目(18JR2FA004) （18JR2FA004）
兰州市科技计划项目(2022-5-77) （2022-5-77）
