Distúrbios respiratórios do sono em crianças com rinite persistente

Abstract

Objective: To estimate the frequency of sleep-disordered breathing (SDB) and detailing aspects that harm health of children with persistent rhinitis. Methods: A prospective, descriptive and transversal study was done with children who attended at Outpatient service of Pediatrics Allergy of Sergipe Federal University with diagnosis of persistent rhinitis. Questionnaires about clinical characteristics of rhinitis in the last month and about characterization of SDB child were applied during visits. Data on additional exams were obtained from medical records. Results: 71 children aged 4 to 12 years old were evaluated, 47 ( 66.2% ) males , 33 (43.5%) and 40 atopic ( 56.3% ) receiving nasal corticosteroids Twenty -five children underwent nasal endoscopy and 19 had pharyngeal tonsil hypertrophy. Nasal symptoms in the last month were reported by 100 % of children, of which 56 (78.9 %) of these reported nasal obstruction. The most frequent complaints were related to DRS : Snoring at night (39.4 %) , open mouth breathing (36.6 %), difficulty breathing during sleep (28.2%), headache (26.8 %) and sore throat (23.9 %). Daytime sleepiness was observed in 19.7% and 14.1% had school absenteeism. The concern of the caregiver to the child's breathing was reported in 52.1 % of cases. Serious complaints like stop breathing, need to shake the child report or cyanosis did not occur in any child. Conclusions : SDB often manifested in children suffering from persistent rhinitis, affecting the quality of life and causing concern to their cariers.