低温等离子射频消融腺样体切除术对鼾症患儿睡眠质量与LSa(O_2)的影响  

Effect of low-temperature plasma radiofrequency ablation adenoidectomy on the sleep quality and LSa(O_2) of snoring children

作　　者：张国顺[1] 黄晓阳[1] 李守民[1] 

机构地区：[1]河南省安阳地区医院,河南安阳455000

出　　处：《现代中西医结合杂志》2016年第12期1277-1279,1320,共4页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的探讨低温等离子射频消融腺样体切除术对鼾症患儿睡眠质量与最低动脉血氧饱和度[LSa(O_2)]的影响。方法将80例鼾症患儿随机分为观察组和对照组各40例。观察组行低温等离子射频消融腺样体切除术,对照组行鼻动力切割腺样体切除术。术后随访6个月,比较2组手术观察指标、临床疗效,手术前后进行魁北克睡眠问卷(QSQ)、Epworth嗜睡量表(ESS)评分,测定呼吸暂停低通气指数(AHI)及LSa(O_2)。结果观察组手术时间、术后疼痛时间、症状缓解时间均明显短于对照组(P均<0.05),术中出血量明显少于对照组(P<0.05);术后6个月,2组总有效率比较差异无统计学意义(P>0.05);术后6个月2组QSQ总分、ESS评分、AHI、LSa(O_2)均较治疗前明显改善(P均<0.05),且观察组各指标[除LSa(O_2)外]改善情况均明显优于对照组(P均<0.05)。结论低温等离子射频消融腺体切除术能明显改善鼾症患儿的睡眠质量,升高LSa(O_2),是一种安全有效的治疗方法,值得临床推广应用。Objective It is to investigate the influence of low-temperature plasma radiofrequency ablation adenoidectomy on sleep quality and lowest arterial oxygen saturation [ LSa（ 02 ） ] of snoring children. Methods 80 cases of snoring children were randomly divided into observation group and the control group, 40 cases in each group. The children underwent radiofre- quency ablation adenoidectomy in the observation group, and with nasal power cut adenoideetomy in the control group. All the patients were followed up for 6 months, the two groups of children with surgical outcome measures, clinical efficacy, before and after surgery Quebec Sleep Questionnaire （QSQ） , Epworth Sleepiness Scale （ESS） score, apnea hypopnea index （AHI） and the LSa（O2） index were evaluated and compared. Results The operative time, postoperative pain time, symptom relief time in observation group were significantly shorter than that in the control group （ all P 〈 O. 05） , the blood loss was less than that in the control group （P 〈 0.05） ; After six months of operation, there was no significant difference in the total effective rate between the both groups （P 〉 0.05） ; and the QSQ score, ESS score, AHI, LSa（ 02 ） were significantly improved in both groups （ all P 〈 0.05 ）, and the QSQ score, ESS score, AHI of the observation group were significantly better than those of the control group （all P 〈 0.05）. Conclusion Low-temperature plasma radiofrequency ablation adenoidectomy can significantly improve the sleep quality and LSa（ 02 ） of snoring children, it is a safe and effective method of treatment, it should be popu- larized in clinical practice.

关 键 词：低温等离子射频消融术 儿童 鼾症 睡眠质量 

分 类 号：R036.431[医药卫生]