Sleeping snoring is not only for adults, but also for children or infants who snore when they sleep, have severe nasal congestion or open mouth breathing at night, and can only fall asleep partially on their stomachs …… For these symptoms many parents often do not take it seriously, some think it is caused by children sleeping too much, some think that some children are like this, when they are older, some are better. Even if you see a child tossing and turning to sleep, you just think it’s hyperactive nature. However, if your child snores or sleeps on his or her back, you should be alert to the fact that your child may have pediatric snoring disorder. What is pediatric snoring pediatric snoring, also known as childhood obstructive sleep apnea hypoventilation syndrome (childhood OSAHS). The most common cause is adenoid/tonsil hypertrophy (or both), which blocks part of the pharyngeal airway and keeps the airway narrow for a long time, so that breathing only feels smooth with an open mouth. Because of the vibration of the uvula in the pharyngeal cavity when breathing with the mouth open, snoring occurs with an exhalation and an inhalation. What are the dangers of pediatric snoring Snoring in children often means poor sleep quality for children, which may affect their school performance, cognitive-behavioral problems and panda eyes in the near future; in the long run, it can lead to high blood pressure and even damage brain function, which has become a major disease threatening children’s health. Especially between the ages of 3 and 6, when children’s brains are developing the fastest, lack of oxygen in the brain will harm the nerve cells in the brain, which will affect the development of the brain in the long run and make children’s concentration and IQ worse than normal children. In the long term, it may also affect the growth and development of children (no growth, adenoid face), cardiovascular system (increased blood viscosity, change of heart structure), metabolic system (disorder), quality of life, etc. How to know that you are suffering from pediatric snoring The sooner parents pay attention to pediatric snoring, the better the intervention. Generally speaking, pediatric snoring can be diagnosed if the following symptoms occur: ① snoring, open-mouth breathing or breath-holding during sleep, affecting the rest of bedmates; ② tonsillar hypertrophy ≥2 degrees, narrow pharyngeal cavity; ③ adenoid hypertrophy, nasopharyngeal cavity ratio (A/N) ≥0.65; conforming to ①② or ①③ or ①②③. Sleep monitoring examination should be performed when conditions permit, and the gold standard for diagnosis is: obstructive apnea index OAI>1, or sleep apnea hypoventilation index AHI>5, and minimum oxygen saturation less than 92%; meeting any 2 items can diagnose OSAHS in children. How to treat pediatric snoring Treatment for pediatric snoring is generally divided into surgical treatment and non-surgical treatment. Since the etiology and clinical characteristics of pediatric snoring are quite different from those of adults, adenoidectomy and/or tonsillectomy is still the main treatment method in the current situation, with an efficiency rate of up to 90%. Surgical removal of adenoids and/or tonsils can significantly improve the symptoms of snoring in sleep, open-mouth breathing, apnea, and hearing loss (otitis media). The second line is nasal continuous positive pressure ventilation NCPAP and other non-surgical treatments. In non-surgical treatment, the use of herbal conditioning and the following physical methods are also often effective. 1, Chinese medicine: Chinese medicine can strengthen the spleen and dissolve phlegm, disperse nodules and swelling, treat rhinitis and sinus and thus improve snoring symptoms. 2.Loss of weight: for small fat pier, obesity is one of the factors causing pharyngeal stenosis, losing weight can reduce the degree of airway obstruction. 3, side sleep: side sleep position has the effect of preventing the tongue root from falling back and reducing the degree of upper airway obstruction, which can significantly reduce snoring and apnea. 4, choose the right pillow: children who snore should choose a pillow that is not soft or hard. Too soft pillows are too elastic and easy to make the neck lose support, which can lead to poor breathing in children. 5, oral orthodontic appliances: easy to use, part of the effect is obvious, without any side effects. It is more effective for children with receding jaw and large tongue. 6.Breathing machine treatment: less painful, can improve the sleep quality of children, but expensive, poor compliance, and inconvenient to carry. Continuous positive pressure ventilator is suitable for children with moderate to severe snoring or poor postoperative efficacy. To sum up, if a child is prone to snoring or open-mouth breathing, he or she must be alert to the possibility of pediatric adenoids and tonsillar hypertrophy, and early diagnosis and treatment should be carried out to avoid leaving sequelae for the child.