地塞米松对悬雍垂腭咽成形术后并发症的影响  

Research on the Correlation of Dexamethasone and Syndrome of UPPP

作　　者：周旭[1] 王建中[1] 常荣先[1] 黄新生[1] 黄凤娥[1] 吴钦苏[1] 罗雪梅[1] 谢小风 李献忠 

机构地区：[1]复旦大学附属中山医院耳鼻咽喉科,上海200032 [2]江西省资溪县人民医院耳鼻咽喉科,资溪335300

出　　处：《中国临床医学》2005年第6期1082-1083,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨在悬雍垂腭咽成形术(UPPP)后应用地塞米松能否明显降低并发症的发病率。方法:治疗组30例患者UPPP术后静脉应用地塞米松3 d,对照组30例患者UPPP术后不使用地塞米松,其余治疗相同,比较两组之间并发症的差异。结果:术后1 d, 治疗组和对照组在呼吸困难,咽部水肿,咽部疼痛,切口裂开,术后出血及发热方面均有显著差异(P<0．05)。术后3 d,治疗组和对照组在咽部水肿,咽部疼痛,切口裂开,术后出血及发热方面均有显著差异(P<0．05),在呼吸困难方面无显著差异。术后1周,治疗组和对照组在咽部水肿,咽部疼痛,切口裂开,术后出血方面均有显著差异(P<0．05),在呼吸困难、发热方面无显著差异。结论:在悬雍垂腭咽成形术(UPPP)后应用地塞米松能明显降低并发症的发病率。Objective： To determine whether Dexamethasone may reduce the incidence of syndrome of UPPP. Methods： 30 cases of UPPP injected Dexamethasone were selected as the treat group and 30 cases of UPPP not injected Dexamethasone were selected as the control group. The incidence of syndrome of UPPP were detected. Results： The incidence of syndrome of UPPP in the treat group was significantly lower than in the control group. Conclusion：Dexamethasone may reduce the incidence of syndrome of UPPP.

关 键 词：地塞米松 悬雍垂腭咽成形术 并发症 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]