腺样体切除术对儿童嗅觉功能的影响  

Olfactory function in children with adenoid hypertrophy who underwent adenotonsillectomy during pre-and post-operative period

作　　者：潘宏光[1] 杨红[1] 陈国威[1] 李兰[1] 吴泽斌[1] 王菊梅 

机构地区：[1]深圳市儿童医院耳鼻咽喉科,518026 [2]深圳市南山小学校医室,518052

出　　处：《中华耳鼻咽喉头颈外科杂志》2017年第6期453-457,共5页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

基　　金：深圳市科技创新委员会资助项目（JCYJ20140416141331540）

摘　　要：目的 探讨腺样体肥大患儿的嗅觉情况,并比较腺样体肥大患儿行腺样体切除术后患儿嗅觉和食欲的变化.方法 选取2015年3---8月住院因腺样体肥大行腺样体切除术并且符合研究条件的患儿44例（腺样体肥大组）,年龄7 ～12岁,平均年龄（10.0±2.0）岁;嗅觉正常健康儿童40名（正常对照组）,年龄7～12岁,平均年龄（11.2±0.8）岁,两组均进行Sniffin＇Sticks法嗅觉测试,以比较两组的嗅觉功能.对腺样体肥大组患儿术后半年进行随访并再次行Sniffin＇Sticks法嗅觉测试.术前和随访时对腺样体肥大组患儿进行食欲视觉模拟量表评分法（visual analogue scale,VAS）评分.应用SPSS 13.0统计软件进行统计.结果 腺样体肥大组患儿嗅觉功能三项测试得分相加的TDI总分为（32.4±3.5）分,较正常对照组TDI总分（37.3±2.8）分低,差异有统计学意义（t=7.057,P＜0.001）;腺样体切除术后患儿的嗅觉功能TDI总分为（36.8±1.9）分,比术前有明显提高（t=13.573,P＜0.001）;患儿术后食欲VAS评分（7.3土0.7）分较术前（5.2±0.8）分提高,差异有统计学意义（t=16.765,P＜0.001）.腺样体肥大组患儿手术前后TDI增加值和患儿食欲VAS评分增加值有相关性（r=0.59,P＜0.01）.结论 腺样体肥大患儿嗅觉功能和食欲出现下降,腺样体切除术能明显改善患儿的嗅觉和食欲.Objective To assess the olfactory function in children with adenoid hypertrophy and investigate the changes of both olfactory function and appetite in children with adenoid hypertrophy before and after adenoidectomy.Methods Forty-four children with adenoid hypertrophy admitted for adenoidectomy,aged 7-12 years,mean age （10.0 ± 2.0） years were tested by Sniffin＆#39;Sticks test and visual analog scale （VAS） of the children＇s appetite preoperatively between March and August 2015.In a appointment 6 months after operation,all of them returned and were tested again.The control group consisted of 40 healthy children,aged 7-12 years,mean age （11.2 ± 0.8） years.SPSS 13.0 software was used for statistical analysis Results The olfactory function of the study group TDI scores （32.4 ± 3.5） preoperatively were significantly lower in comparison with the results of the control group TDI scores （37.3-± 2.8） （t =7.057,P 〈 0.001）.Significant improvement of olfaction TDI scores （36.8-± 1.9） was observed in the follow-up appointment（t =13.573,P 〈 0.001）.The VAS of the children＇s appetite during postadenoidectomy was higher compared to pre-adenoidectomy （t =16.765,P 〈 0.001）.There was a strong correlation between the increase in appetite of children and the change of TDI score （r =0.59,P 〈 0.01）.Conclusions Children with adenoid hypertrophy have a reduced ability of both olfactory function and appetite.Surgery had a greater impact on olfaction and appetite.

关 键 词：腺样体切除术 嗅觉 食欲 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]