腺样体切除术对儿童分泌性中耳炎的治疗效果及对睡眠质量的改善效果  

The Therapeutic Effect of Adenoidectomy on Secretory Otitis Media in Children and Its Improvement on Sleep Quality

作　　者：安理 AN Li(Binzhou Second People's Hospital Ear,Binzhou 256800,China)

机构地区：[1]滨州市第二人民医院,滨州256800

出　　处：《世界睡眠医学杂志》2024年第4期830-832,共3页World Journal of Sleep Medicine

基　　金：山东省医药卫生科技发展计划项目(2023KJ465)。

摘　　要：目的:分析腺样体切除对分泌性中耳炎伴阻塞性睡眠呼吸暂停综合征患儿的治疗效果及对睡眠质量的改善效果。方法:选取2022年1月至2023年1月滨州市第二人民医院收治的分泌性中耳炎伴阻塞性睡眠呼吸暂停综合征患儿80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例。对照组给予保守治疗,观察组给予腺样体切除手术治疗。采用匹兹堡睡眠质量指数(PSQI)比较2组患儿睡眠质量的差异,采用生命质量综合评定量表(GQOL-74)比较2组患儿干预前后生命质量的变化。结果:治疗后,观察组患儿PSQI评分显著低于对照组,观察组GQOL-74评分显著高于对照组,差异均有统计学意义(均P<0.05)。结论:腺样体切除在儿童分泌性中耳炎的治疗中具有较好的效果,能显著改善患儿的睡眠质量,提高患儿的生命质量,值得临床推广应用。Objective:To analyze the therapeutic effect of adenoidectomy on children with secretory otitis media accompanied by obstructive sleep apnea syndrome and its effect on improving sleep quality.Methods:A total of 80 children with secretory otitis media and obstructive sleep apnea syndrome admitted to the Second People's Hospital of Binzhou City from January 2022 to January 2023 were selected as the study subjects.Using a random number table method,they were randomly divided into control and observation groups,with 40 cases in each group.The control group received conservative treatment,while the observation group received adenoidectomy surgery.Using the Pittsburgh Sleep Quality Index(PSQI)to compare the differences in sleep quality between two groups of patients and the Comprehensive Quality of Life Assessment Scale(GQOL-74)to compare the changes in quality of life between the two groups of children before and after intervention.Results:After treatment,the PSQI score of the observation group was significantly lower than that of the control group,and the GQOL-74 score of the observation group was significantly higher than that of the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion:Adenoidectomy has a good effect in the treatment of pediatric secretory otitis media,which can significantly improve the sleep quality of children and enhance their quality of life.It is worthy of clinical promotion and application.

关 键 词：分泌性中耳炎 腺样体切除 睡眠质量 阻塞性睡眠呼吸暂停综合征 腺样体肥大 耳鼻喉 生命质量 

分 类 号：R764.21[医药卫生—耳鼻咽喉科] R338.63[医药卫生—临床医学]