观察鼻内镜下腺样体切除联合鼓室置管治疗儿童阻塞性睡眠呼吸暂停低通气综合征伴分泌性中耳炎的效果  

To Observe the Effect of Nasal Endoscopic Adenoidectomy Combined with Tympanic Catheterization in the Treatment of Obstructive Sleep Apnea Hypoventilation Syndrome with Secretory Otitis Media in Children

作　　者：任金英 REN Jinying(Lingcheng District People′s Hospital of Dezhou,Dezhou 253500,China)

机构地区：[1]德州市陵城区人民医院,德州253500

出　　处：《世界睡眠医学杂志》2023年第4期806-808,共3页World Journal of Sleep Medicine

摘　　要：目的:分析鼻内镜下腺样体切除联合鼓室置管在儿童阻塞性睡眠呼吸暂停综合征伴分泌性中耳炎治疗中发挥的优势。方法:选取2022年1月至12月德州市陵城区人民医院收治的阻塞性睡眠呼吸暂停综合征伴分泌性中耳炎患儿80例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组40例。对照组给予鼻内镜指导下低温等离子腺体切除术治疗,观察组给予鼻内镜指导下低温等离子腺体切除联合鼓室置管术式治疗,采用匹兹堡睡眠质量指数(PSQI)比较2组患儿睡眠质量的变化,比较2组患儿炎性因子表达情况及2组患儿的通气指数。结果:治疗后,观察组PSQI评分显著低于对照组,观察组患儿炎性因子表达更低,观察组患儿氧减指数、睡眠呼吸暂停通气次数显著低于对照组,血氧饱和度显著高于对照组,差异均有统计学意义(均P<0.05)。结论:鼻内镜下腺样体切除联合鼓室置管在儿童阻塞性睡眠呼吸暂停综合征伴分泌性中耳炎治疗中具有协助患儿改善呼吸功能,改善患儿的睡眠障碍的能力,能够有效提高患儿的血氧饱和度,降低氧减指数及睡眠呼吸暂停通气次数,值得推广使用。Objective:To analyze the advantages of adenoidectomy combined with tympanic catheterization under nasal endoscope in the treatment of obstructive sleep apnea syndrome with secretory otitis media in children.Methods:A total of 80 patients with obstructive sleep apnea syndrome with secretory otitis media admitted to Lingcheng District People′s Hospital of Dezhou City from January to December 2022 were selected as research objects,and were randomly divided into observation group and control group according to the random number table method,with 40 cases in each group.The control group was treated with endoscopic low temperature plasma glandectomy,and the observation group was treated with endoscopic low temperature plasma glandectomy combined with tympanic catheterization.Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes of sleep quality between 2 groups,the expression of inflammatory factors and the ventilation index of the two groups were compared as well.Results:After treatment,PSQ score in the observation group was significantly lower than the control group,inflammatory factor expression in observation group was lower than the control group,oxygen hypoxia index and sleep apnea ventilation times in observation group were significantly lower than the control group,and blood oxygen saturation was significantly higher than the control group,the difference between the two groups was statistically significant(P s<0.05).Conclusion:Nasal endoscopic adenoidectomy combined with tympanic catheterization in the treatment of obstructive sleep apnea syndrome with secretory otitis media in children has the ability to assist patients to improve respiratory function,improve patient′s sleep disorders,can improve patient′s blood oxygen saturation,reduce oxygen hypoxia index and ventilation times of sleep apnea,worthy of promotion and use.

关 键 词：腺样体切除 鼓室置管 儿童阻塞性睡眠呼吸暂停综合征 炎性因子 血氧饱和度 

分 类 号：R364.4[医药卫生—病理学] R338.63[医药卫生—基础医学]