慢性扁桃体炎合并慢性肾炎患者切除扁桃体的的效果观察  

Effect of tonsillectomy in patients with chronic tonsillitis and chronic nephritis

作　　者：李永涛 Li Yongtao(Department of Oncology,The People’s Hospital of Linxia,Linxia,Gansu,731100,China)

机构地区：[1]甘肃省临夏州人民医院肿瘤科,甘肃临夏731100

出　　处：《中国医学文摘（耳鼻咽喉科学）》2021年第2期90-91,共2页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的分析耳鼻咽喉科老年患者多重耐药菌感染的临床特征和耐药性。方法研究对象200例,均为我院2019年1月到2020年1月之间收治的慢性扁桃体炎合并慢性肾炎患者,按照随机数字法分为对照组和观察组各100例,对照组选择切除扁桃体,观察组选择不切除扁桃体,对两组患者的24h蛋白尿和血尿水平进行比较。结果对照组患者治疗后的24h尿蛋白和血尿均低于观察组,差异有统计学意义(P<0.05),SCr和Ccr水平无显著差异(P>0.05)。两组不良反应发生率无显著差异(P>0.05)。结论慢性扁桃体炎合并慢性肾炎患者切除扁桃体后具有一定的疗效,可降低尿蛋白和血尿指标,对肾功能无显著影响,安全可靠,具有临床借鉴价值。Objective To observe the effect of tonsillectomy in patients with chronic tonsillitis and chronic nephritis.Methods 200 patients with chronic tonsillitis complicated with chronic nephritis in our hospital from January 2019 to January 2020 were randomly divided into control group and observation group with 100 cases in each group.The control group chose tonsillectomy,and the observation group chose not to remove tonsils.The 24-hour proteinuria and hematuria levels of the two groups were compared.Results 24 h urinary protein and hematuria in the control group were lower than those in the observation group(P<0.05),but there was no significant difference in SCR and CCR levels(P>0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Tonsillectomy in patients with chronic tonsillitis and chronic nephritis has certain curative effect,can reduce urinary protein and hematuria index,has no significant impact on renal function,safe and reliable,has clinical reference value.

关 键 词：慢性扁桃体炎 慢性肾炎 扁桃体切除术 蛋白尿 

分 类 号：R27[医药卫生—中医学]