摘要
目的探讨鼻内镜辅助低温等离子切除术在腺样体伴扁桃体肥大患儿中的应用效果.方法选取2020年10月—2022年10月沭阳铭和医院收治的66例腺样体伴扁桃体肥大患儿为研究对象,按照随机数字表法将其分为对照组与观察组.对照组(n=33)行常规腺样体伴扁桃体切除术,观察组(n=33)行鼻内镜辅助低温等离子腺样体伴扁桃体切除术.对比两组患儿的手术相关指标、疼痛程度、通气功能及并发症发生情况.结果观察组的手术时间、恢复正常饮食时间、住院时间均短于对照组,术中出血量少于对照组,组间差异有统计学意义(P<0.05).术后1、3、5、7 d,观察组的疼痛视觉模拟评分均低于对照组,组间差异有统计学意义(P<0.05).术后,观察组的呼吸紊乱指数、氧减指数均低于对照组,最长呼吸暂停时间短于对照组,夜间最低血氧饱和度高于对照组,组间差异有统计学意义(P<0.05).观察组的术后并发症总发生率为6.06%,低于对照组的27.27%,差异有统计学意义(P<0.05).结论采用鼻内镜辅助低温等离子腺样体伴扁桃体切除术治疗腺样体伴扁桃体肥大患儿的效果显著,能明显改善其术后疼痛程度,提高通气功能,且并发症少,安全可靠.
Objective To investigate the effects of endoscopic assisted low-temperature plasma resection in children with adenoid and tonsillar hypertrophy.Methods 66 children with adenoid and tonsillar hypertrophy admitted to Shuyang Minghe Hospital from October 2020 to October 2022 were selected as the study objects,and were divided into control group and observation group according to random number table method.The control group(n=33)underwent conventional adenoidectomy with tonsillectomy,and the observation group(n=33)underwent endoscopic assisted low-temperature plasma resection adenoidectomy with tonsillectomy.The surgical indicators,pain degree,ventilation function and complications were compared between the two groups.Results The operation time,normal diet time and hospital stay in the observation group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,the differences between the groups were statistically significant(P<0.05).On day 1,3,5 and 7 after operation,the pain visual analogue scale scores of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).After operation,the respiratory disorder index and oxygen reduction index of the observation group were lower than those of the control group,the longest apnea time was shorter than that of the control group,and the minimum blood oxygen saturation at night was higher than that of the control group,and the differences between the groups were statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was 6.06%,lower than 27.27%in the control group,and the difference was statistically significant(P<0.05).Conclusion Endoscopic assisted low-temperature plasma resection adenoidectomy with tonsillectomy is effective in the treatment of children with adenoid and tonsillar hypertrophy,and can significantly improve postoperative pain and ventilation function,with fewer complications,and is safe and reliable.
作者
葛志艳
GE Zhiyan(Department of Otolaryngology,Shuyang Minghe Hospital,Suqian Jiangsu,223600,China)
出处
《反射疗法与康复医学》
2023年第13期156-159,共4页
Reflexology And Rehabilitation Medicine
关键词
腺样体伴扁桃体肥大
鼻内镜辅助低温等离子切除术
疼痛程度
通气功能
并发症
Adenoid with tonsillar hypertrophy
Endoscopic assisted low-temperature plasma resection
Degree of pain
Ventilation function
Complications
作者简介
葛志艳(1980-),女,江苏宿迁人,本科,主治医师,研究方向:慢性鼻窦炎、腺样体伴扁桃体肥大诊疗。
