儿童扁桃体及腺样体术前表面细菌培养结果与术后发热相关性分析  

Correlation analysis between bacterial culture results of tonsillar and adenoid gland surface preoperation and postoperative fever in children with obstructive sleep apnea-hypopnea syndrome

作　　者：韩佳宏[1] 代志瑶[1] 孙宝春[1] 周成勇[1] 

机构地区：[1]解放军总医院附属第一医院耳鼻喉科,北京100048

出　　处：《感染．炎症．修复》2016年第1期26-28,共3页Infection Inflammation Repair

摘　　要：目的:分析因阻塞性睡眠呼吸暂停低通气综合征(OSAHS)而需要行手术的患儿,术前腺样体及扁桃体表面的细菌培养结果与术后发热的关系。方法:随机抽取诊断为OSAHS并拟行腺样体及扁桃体手术的患儿60例,于术前采用咽拭子法,取扁桃体、腺样体表面分泌物进行细菌培养,采用低温等离子消融系统实施腺样体切除+扁桃体部分切除手术,观察并记录其术后体温的变化。将术前细菌培养阳性组与阴性组患者术后发热情况进行比较。结果:细菌培养结果以正常菌群为主,扁桃体及腺样体检出率分别为96.7%(58/60例)及78.3%(47/60例);条件致病菌以金黄色葡萄球菌、肺炎链球菌为主,其在扁桃体的检出率分别为28.3%(17/60例)和11.7%(7/60例),在腺样体的检出率分别为26.7%(16/60例)和16.7%(10/60例);术前细菌培养阳性组与阴性组比较,两组术后发热率差异无统计学意义(P=0.052)。结论:儿童扁桃体及腺样体术前细菌培养阳性与术后发热无关。Objective To explore the correlation between bacterial culture result of tonsillar and adenoid surfacesecretion preoperation and postoperative fever in obstructive sleep apnea-hypopnea syndrome （OSAHS）. Methods： SixtyOSAHS children who were planed to undergo the surgical treatment were chosen randomly. The secretion on the surface ofthe tonsil and adenoid were sampled by a throat swab before operation for bacterial culture. Then, the children underwenttonsillectomy and adenoidectomy assisted with coblation system. After the operation, the body temperatures were recordedand compared between bacterial-culture positive and negative children. Results： The microflora of cultured bacteriawere mainly normal microbial population, and the rate of positive bacterial culture was 96.7% （58/60 cases） and 78.3%（47/60 cases） from the tonsil and adenoid secretions respectiely. The opportunistic pathogens were mainly Streptococcuspneumoniae and Staphylococcus aureus, and their detection rates were 28.3% （17/60 cases） and 11.7% （7/60 cases） or26.7%（16/60 cases） and 16.7% （10/60 cases） from the tonsil and adenoid respectively. There was no significant differencein body temperature after the operation between the bacteria-culture negative and positive groups preoperation（P=0.052）.Conclusions： There is no close connection between postoperative fever and the positive bacterial culture of the secretion onthe tonsillar and adenoid surface preoperation in OSAHS children.

关 键 词：扁桃体 腺样体 睡眠呼吸暂停综合征 细菌培养 术后发热 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]