摘要
目的探讨两种切除术对扁桃体肥大伴腺样体肥大患儿围术期指标及并发症的影响。方法选取阜宁县人民医院于2018年1月—2020年12月收治的90例扁桃体-腺样体肥大患儿为研究对象,以随机数表法分为两组,对照组(n=45)采用传统术式切除,观察组(n=45)则以等离子切除,比较两组围术期指标、疼痛评分、通气功能、并发症发生率。结果观察组手术时间(43.81±6.20)min、出血量(18.91±4.45)mL、切口愈合时间(4.33±1.28)d、住院时间(6.27±1.05)d,均优于对照组,差异有统计学意义(t=12.102、14.922、8.021、5.644,P均<0.05)。观察组术后各时刻疼痛评分均低于对照组,且术后氧减指数、呼吸紊乱指数及呼吸暂停时间均优于对照组,并发症总发生率低于对照组,差异有统计学意义(P均<0.05)。结论对扁桃体-腺样体肥大患儿以等离子切除术治疗能改善围术期指标,术后疼痛轻且通气功能改善好,并发症发生率低。
Objective To investigate the effects of two kinds of resection on perioperative indexes and complications in children with tonsil hypertrophy and adenoid hypertrophy.Methods Ninety children with tonssillion-adenoid hyper⁃plasia admitted to Funing County People's Hospital from January 2018 to December 2020 were selected as the study objects and divided into two groups by random number table method.The control group(n=45)underwent traditional operation,and the observation group(n=45)underwent plasma resection.Perioperative indexes,pain score,ventilation function and complication rate of the two groups were compared.Results The operation time of the observation group was(43.81±6.20)min,the amount of blood loss was(18.91±4.45)mL,the incision healing time was(4.33±1.28)d,and the length of hospital stay was(6.27±1.05)d,which were all better than those of the control group,and the differences were statistically significant(t=12.102,14.922,8.021,5.644,all P<0.05).The postoperative pain scores of the obser⁃vation group were lower than those of the control group at all times,and the postoperative oxygen loss index,respira⁃tory disorder index and apnea time were better than those of the control group,and the total complication rate was lower than that of the control group,and the differences were statistically significant(all P<0.05).Conclusion Plasma resection can improve perioperative indexes in children with tonsillar-adenoid hypertrophy,with mild postoperative pain,improved ventilation function and low risk of complications.
作者
侍海霞
SHI Haixia(Department of Otolaryngology,Funing County People's Hospital,Funing,Jiangsu Province,224400 China)
出处
《系统医学》
2024年第10期116-119,共4页
Systems Medicine
关键词
扁桃体肥大
腺样体肥大
等离子切除
围术期
通气功能
并发症
Tonsil hypertrophy
Adenoid hypertrophy
Plasma ablation
Perioperative period
Ventilation function
Complication
作者简介
侍海霞(1982-),女,本科,副主任医师,研究方向为耳鼻咽喉。
