腺样体切除对儿童慢性鼻窦炎治疗效果的影响  

Effect of Adenoidectomy on the Treatment of Chronic Sinusitis in Children

作　　者：金丹 JIN Dan(Department of Otolaryngology,Huludao City Central Hospital Longwan District,Huludao 125000,China)

机构地区：[1]葫芦岛市中心医院龙湾院区耳鼻咽喉科,辽宁葫芦岛125000

出　　处：《中国医药指南》2022年第1期89-91,共3页Guide of China Medicine

摘　　要：目的研究并分析腺样体切除对儿童慢性鼻窦炎的治疗效果,以及产生的影响。方法选取2018年5月至2019年9月于本院接受治疗的慢性鼻窦炎患儿102例作为研究对象,将102例患者按随机数字表法分为对照组与试验组,两组各51例。对照组患儿实施常规药物进行治疗,试验组患儿实施腺样体切除术进行治疗,对比两组患儿治疗前后的Lund-Mackay(鼻内镜)评分、并发症的发生情况,以及临床效果。结果治疗前,试验组与对照组患儿的Lund-Mackay评分分别是(5.97±1.49)分、(5.98±1.50)分,组间差异无统计学意义(P>0.05);治疗后,试验组患儿的Lund-Mackay评分是(3.04±1.43)分,显著低于对照组的(4.73±1.52)分,差异具有统计学意义(P<0.05)。对照组患儿的并发症总发生率是17.65%(9/51);试验组患儿的并发症总发生率是3.92%(2/51),试验组低于对照组,差异具有统计学意义(P<0.05)。对照组患儿的治疗有效率是76.47%,试验组患儿是96.08%,对照组低于试验组,差异具有统计学意义(P<0.05)。结论对慢性鼻窦炎患儿实施腺样体切除术治疗的效果相比实施常规药物治疗的效果更为理想,不仅能有效降低患儿的鼻内镜评分,减少并发症的发生概率,还可明显提升治疗效果。Objective To study and analyze the effect of adenoidectomy on chronic sinusitis in children.Methods One hundred and two children with chronic sinusitis were admitted to this hospital,which were randomly divided into experimental group and control group according to the numerical table method,each with 51 cases.The control group performed routine drug therapy and the experimental group performed adenoidectomy to compare the Lund-Mackay score,the occurrence of complications,and the clinical effects of the two groups of children before and after treatment.Results Before the treatment,the Lund-Mackay score of the experimental group and the control group was(5.97±1.49)and(5.98±1.50),respectively,and there was no difference between the groups(P>0.05);after treatment,the Lund-Mackay score in the experimental group was(3.04±1.43),which was significantly lower than the control group(4.73±1.52)(P<0.05).The total incidence of eye and intracranial complications in the control group was 17.65%(9/51),which was significantly higher than 3.92%(2/51)in the experimental group(P<0.05).The treatment efficiency of the control group was 76.47%,compared with 96.08%of the experimental group,the difference was significant(P<0.05).Conclusion The treatment of adenoidectomy in children with chronic sinusitis is more effective than that of conventional drug therapy.It can not only reduce the incidence of endoscopic score and complications in children,but also improve the efficacy.

关 键 词：腺样体切除 慢性鼻窦炎 并发症 鼻内镜评分 临床效果 

分 类 号：R765.41[医药卫生—耳鼻咽喉科]