鼻内镜辅助腺样体低温等离子消融术对小儿腺样体肥大的疗效及VAS评分影响分析  

Efficacy and VAS Score Analysis of Endoscopic-Assisted Adenoid Hypothermic Plasma Ablation in Children with Adenoid Hypertrophy

作　　者：刘闻通 何利勇 LIU Wentong;HE Liyong(Department of Otolaryngology,Yong´an Municipal Hospital,Yong´an,Fujian Province,366000 China)

机构地区：[1]福建省永安市立医院耳鼻喉科,福建永安366000

出　　处：《中外医疗》2022年第17期78-81,86,共5页China & Foreign Medical Treatment

摘　　要：目的探析小儿腺样体肥大采取鼻内镜辅助腺样体低温等离子消融术诊疗的效果及对VAS评分表影响。方法方便选择2012年2月—2018年2月福建省永安市立医院接治的小儿腺样体肥大患儿104例为研究对象,按照随机数表法将其分为对照组(n=52)和治疗组(n=52)。对照组行鼻内镜下腺样体吸切术,治疗组行鼻内镜下腺样体低温等离子消融术,比较两组实施效果,并对两组VAS评分展开评价。结果治疗组有效率为96.15%(50/52),与对照组有效率92.31%(48/52)比较,差异有统计学意义(χ^(2)=0.177,P=0.674)。术后24、48、72 h,治疗组VAS评分分别为(5.81±2.11)分、(4.61±1.17)分、(2.61±0.71)分均低于对照组(7.50±2.62)分、(6.31±1.36)分、(3.30±1.52)分,差异有统计学意义(t=3.623、6.833、2.966,P<0.05)。与对照组(9.05±0.47)mL、(12.42±3.05)min、(5.23±1.55)d、(7.47±1.68)d、(5.42±1.06)d对比,治疗组出血量(7.23±1.24)mL更低,手术时间、咽痛持续用时(6.38±2.07)min、(3.24±1.34)d、住院天数(5.14±1.23)d与鼻腔通气恢复用时(3.43±0.75)d更短,差异有统计学意义(P<0.05)。治疗组并发症发生率为3.85%(2/52),低于对照组的19.23%(10/52),差异有统计学意义(χ^(2)=6.029,P=0.014)。结论小儿腺样体肥大采取鼻内镜辅助腺样体低温等离子消融术诊疗效果显著,有益于减轻术后疼痛等不适感,缩短住院时间,且并发症少,应用可行性高,值得推广。Objective To explore the effect of nasal endoscopy-assisted adenoid hypothermic plasma ablation in the diagnosis and treatment of adenoid hypertrophy in children and its correlation with the VAS score.Methods The 104 children with adenoid hypertrophy who were treated in Yong´an Municipal Hospital from February 2012 to February 2018 were conveniently selected as the research objects,and they were divided into control group(n=52)and treatment group(n=52)according to the random number method.The control group received endoscopic adenoidectomy,and the treatment group received low temperature plasma ablation of adenoids under nasal endoscopy.The implementation effect of the two groups was compared,and the VAS score was evaluated.Results The effective rate was 96.15%(50/52)in the treatment group and compared with 92.31%(48/52)in the control group,the difference was not statistically significant(χ^(2)=0.177,P=0.674).24 h,48 h and 72 h after operation,the VAS score of the treatment group was(5.81±2.11)points,(4.61±1.17)points,(2.61±0.71)points,which were lower than those of the control group(7.50±2.62)points,(6.31±1.36)points,(3.30±1.52)points,the difference was statistically significant(t=3.623,6.833,2.966,P<0.05).Compared with the control group(9.05±0.47)mL,(12.42±3.05)min,(5.23±1.55)d,(7.47±1.68)d,(5.42±1.06)d,the blood loss in the treatment group(7.23±1.24)mL was lower,and the duration of operation and sore throat was(6.38±2.07)min,(3.24±1.34)d,the length of hospital stay(5.14±1.23)d and the recovery time of nasal ventilation(3.43±0.75)d were shorter,the difference was statistically significant(P<0.05).The incidence of complications in the treatment group was 3.85%(2/52)lower than that in the control group,which was 19.23%(10/52),the difference was statistically significant(χ^(2)=6.029,P=0.014).Conclusion Endoscopy-assisted adenoid hypothermic plasma ablation is effective in the diagnosis and treatment of children with adenoid hypertrophy,which is beneficial to relieve postoperative pain and other

关 键 词：小儿腺样体肥大 鼻内镜技术 腺样体低温等离子消融术 疼痛评分 住院天数 

分 类 号：R5[医药卫生—内科学]