扁桃体摘除联合鼻内窥镜下腺样体切除改善小儿鼾症睡眠的效果观察  

Observation on the Effect of Tonsillectomy Combined with Adenoidectomy under Nasal Endoscopy on Improving Sleep in Children with Snoring

作　　者：傅少波 FU Shaobo(Nan′an Hospital of Traditional Chinese Medicine,Fujian Province,Nan′an 362300,China)

机构地区：[1]福建南安市中医院五官科,南安362300

出　　处：《世界睡眠医学杂志》2024年第3期574-577,共4页World Journal of Sleep Medicine

摘　　要：目的:探讨扁桃体摘除联合鼻内窥镜下腺样体切除改善小儿鼾症睡眠的临床效果。方法:选取2022年1月至2023年6月福建南安市中医院五官科收治的鼾症患儿98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49例。对照组予以常规扁桃体摘除联合腺样体刮除术,观察组予以扁桃体摘除联合鼻内窥镜下腺样体切除术。评估2组的临床疗效,比较2组治疗前后的通气功能[最低夜间血氧饱和度(LSaO_(2))、最长呼吸暂停时间(LAT)、氧碱指数(ODI)]、匹兹堡睡眠质量指数(PSQI)评分、爱泼沃斯嗜睡量表(ESS)评分、儿童鼾症睡眠障碍量表评分。结果:术后4周,2组的LSaO_(2)较术前升高,LAT、ODI较术前下降(P<0.05);术后4周,观察组的LSaO_(2)高于对照组,LAT、ODI低于对照组(P<0.05)。术后4周,2组的PSQI、ESS、儿童鼾症睡眠障碍评分较术前下降,且观察组低于对照组(P<0.05)。术后4周疗效比较,观察组100.00%高于对照组91.84%(P<0.05)。结论:扁桃体摘除联合鼻内窥镜下腺样体切除治疗小儿鼾症,能促进通气功能的恢复,减轻睡眠障碍、提高睡眠质量,疗效显著。Objective:To explore the clinical effect of tonsillectomy combined with adenoidectomy under nasal endoscopy on improving sleep in children with snoring.Methods:A total of 98 children with snoring in our hospital from January 2022 to June 2023 were selected as the study objects.There were 49 cases in each group.The control group was treated with conventional tonsillectomy combined with adenoid curettage,and the observation group was treated with tonsillectomy combined with adenoid resection under a nasal endoscope.The clinical efficacy of the two groups was evaluated.The ventilation function(minimum nighttime oxygen saturation(LSaO_(2)),most prolonged apnea duration(LAT),oxygen base index(ODI)),Pittsburgh Sleep Quality Index(PSQI)score,Epworth sleepiness Scale(ESS)score,and sleep disorder scale score of children snoring between the two groups before and after treatment were compared.Results:At four weeks after the operation,LSaO_(2)was increased,and LAT and ODI were decreased(P<0.05).At four weeks after operation,LSaO_(2)in the observation group was higher than in the control group,and LAT and ODI were lower than in the control group(P<0.05).Four weeks after surgery,PSQI,ESS,and sleep disorder scores of children snoring in two groups were lower than before surgery,and the observation group was lower than the control group(P<0.05).Four weeks after the operation,the curative effect of the observation group 100.00%was higher than that of the control group 91.84%(P<0.05).Conclusion:Tonsillectomy combined with adenoidectomy under nasal endoscope in the treatment of children with snoring can promote the recovery of ventilation function,reduce sleep disorders,and improve sleep quality.

关 键 词：小儿鼾症 扁桃体 腺样体 鼻内窥镜 睡眠质量 

分 类 号：R322.3[医药卫生—人体解剖和组织胚胎学] R338.63[医药卫生—基础医学]