探讨扁桃体摘除联合鼻内镜经口腺样体切除术治疗小儿鼾症的应用效果  

Exploring on the Application Effect of Tonsillectomy Combined with Nasal Endoscopic Adenoidectomy in the Treatment of Pediatric Snoring

作　　者：张明德 ZHANG Mingde(Department of Otolaryngology,Liaocheng Ophthalmology Hospital(Liaocheng Fifth People's Hospital)Liaocheng 252000,Shandong,China;Department of Otolaryngology,Liaocheng Dongchangfu District Maternal and Child Health Care Hospital,Liaocheng 252000,Shandong,China)

机构地区：[1]聊城市眼科医院(聊城市第五人民医院)耳鼻喉科,山东聊城252000 [2]聊城市东昌府区妇幼保健院耳鼻喉科,山东聊城252000

出　　处：《中外医疗》2024年第22期52-55,共4页China & Foreign Medical Treatment

摘　　要：目的探究扁桃体摘除联合鼻内镜经口腺样体切除术治疗小儿鼾症的疗效。方法单纯随机选取2023年1—6月聊城市东昌府区妇幼保健院收治的60例小儿鼾症患儿为研究对象,依据治疗方式的不同分为研究组(30例)、参照组(30例)。参照组采用扁桃体切除术,研究组则联合应用鼻内窥镜下腺样体切除术,对比两组患儿的治疗效果、手术指标、生活质量以及临床症状改善情况。结果研究组治疗总有效率为100.00%(30/30),优于参照组的80.00%(24/30),差异有统计学意义(χ^(2)=4.630,P<0.05)。研究组手术时间长于参照组,差异有统计学意义(P<0.05),两组患儿的术中出血量与住院时间比较,差异无统计学意义(P均>0.05)。治疗后,研究组生活质量评分高于对照组,临床症状评分低于参照组,差异有统计学意义(P均<0.05)。结论相较传统扁桃体切除术,扁桃体摘除联合鼻内镜经口腺样体切除术治疗对于小儿鼾症有更好的治疗效果,可以提升患儿生活质量。Objective To explore the efficacy of tonsillectomy combined with nasal endoscopic adenoidectomy in the treatment of pediatric snoring.Methods From January to June 2023,60 children with snoring in Liaocheng Dongchangfu District Maternal and Child Health Care Hospital were simple randomly selected as the research objects.According to the different treatment methods,they were divided into study group(30 cases)and reference group(30 cases).The reference group was treated with tonsillectomy,and the study group was combined with nasal endoscopic adenoidectomy.The therapeutic effects,surgical indicators,quality of life and improvement of clinical symptoms were compared between children in two groups.Results The total effective rate of treatment in the study group was 100.00%(30/30),which was better than 80.00%(24/30)in the reference group,the difference was statistically significant(χ^(2)=4.630,P<0.05).The operation time of the study group was longer than that of the reference group,the difference was statistically significant(P<0.05),there was no significant difference in intraoperative blood loss and hospitalization time between children in two groups(both P>0.05).After treatment,the quality of life score of the study group was higher than that of the control group,and the clinical symptom score was lower than that of the reference group,the differences were statistically significant(both P<0.05).Conclusion Compared with traditional tonsillectomy,tonsillectomy combined with nasal endoscopic adenoidectomy has a better therapeutic effect on pediatric snoring and can improve the quality of life of children.

关 键 词：小儿鼾症 鼻内镜经口腺样体切除术 扁桃体切除术 治疗效果 生活质量 

分 类 号：R856.76[医药卫生—航空、航天与航海医学]