低温等离子腺样体切除术与鼻动力腺样体切除术治疗鼻鼾患儿的效果及预后分析  

Effect and Prognosis of Low Temperature Plasma Adenoidectomy and Nasal Adenoidectomy for Children with Epistaxis

作　　者：张明[1] 杨志远[1] 李云霞[1] Zhang Ming;Yang Zhiyuan;Li Yunxia(Otolaryngology Head and Neck Surgery,Jiaozuo City Second People's Hospital,Jiaozuo454100,China)

机构地区：[1]焦作市第二人民医院耳鼻咽喉头颈外科,河南焦作454100

出　　处：《哈尔滨医药》2019年第6期531-533,共3页Harbin Medical Journal

摘　　要：目的探讨低温等离子腺体样切除术与鼻动力腺样体切除术治疗鼻鼾患儿的效果及预后。方法采取前瞻性实验研究,以低温等离子腺样体切除术治疗的37例鼻鼾患儿为观察组,按照成组配比选择鼻动力腺样体切除术治疗的37例鼻鼾患儿为对照组。比较两组的手术疗效、睡眠质量及免疫功能。结果观察组手术时间与对照组手术时间比较无统计学意义(P>0.05),但术中出血量显著低于对照组术中出血量(P<0.05);观察组痊愈率优于对照组(P<0.05);治疗后观察组ESS评分,显著低于对照组(P<0.05),两组PSQI评分无统计学意义(P>0.05);治疗后观察组AI、AHI,显著低于对照组(P<0.05),但两组的HI、SaO2差异无统计学意义(P>0.05)。治疗后两组的IgA、IgG、IgM呈先降后升趋势,且均显著低于治疗前(P<0.05),但两组的IgA、IgG、IgM比较并无统计学意义(P>0.05)。结论低温等离子腺体样切除术与鼻动力腺样体切除术均能有效治疗鼻鼾患儿,且前者的疗效及改善睡眠质量优于后者。Objective To investigate the effect and prognosis of low temperature plasma adenoidectomy and nasal adenoidectomy for children with epistaxis.Methods A prospective experimental study was performed in 37 children with epistaxis treated with low temperature plasma adenoidectomy.A total of 37 children with epistaxis treated with nasal adenoidectomy were selected as the control group.The surgical outcome,sleep quality and immune function of the two groups were compared.Results There was no significant difference between the operation time of the observation group and the operation time of the control group(P>0.05).The intraoperative blood loss was significantly lower than that in the control group(P<0.05).The cure rate of the observation group was 70.27%,and the effective rate was 18.91%.The therapeutic effect was better than that of the control group(P<0.05).After treatment,the ESS score of the observation groupwas significantly lower than that of the control group(P<0.05).The PSQI scores of the two groups were not statistically significant(P>0.05).After treatment,the AI and AHI of the observation group were,which were significantly lower than the control group(P<0.05),but there was no significant difference in HI and SaO2 between the two groups(P>0.05).After treatment,IgA,IgG and IgM decreased first and then increased,and were significantly lower than before treatment(P<0.05),but there was no significant difference in IgA,IgG and IgM between the two groups(P>0.05).Conclusion Both low temperature plasma glandular resection and nasal adenoidectomy can effectively treat children with epistaxis,and the efficacy and improvement of sleep quality of the former is better than the latter.

关 键 词：低温等离子术 鼻动力切除术 睡眠 免疫 

分 类 号：R616.3[医药卫生—外科学]