改良低温等离子法对扁桃体切除患者围手术期指标、血清炎症因子及生活质量的影响  

Effects of Modified Low-temperature Plasma Method on Perioperative Indicators,Serum Inflammatory Factors and Quality of Life of Tonsillectomy Patients

作　　者：敖红敏 余子兰 钟康华 李桃根 张丽卫 AO Hongmin;YU Zilan;ZHONG Kanghua;LI Taogen;ZHANG Liwei(Department of Otolaryngology,Xinyu People's Hospital,Xinyu 338000,China;不详)

机构地区：[1]新余市人民医院耳鼻喉科,江西新余338000

出　　处：《中国医学创新》2024年第36期34-38,共5页Medical Innovation of China

基　　金：新余市科技计划项目(20233090856)。

摘　　要：目的:比较改良低温等离子法对扁桃体切除患者围手术期指标、血清炎症因子及生活质量的影响。方法:选取2021年6月—2023年9月新余市人民医院收治的86例行扁桃体切除术患者,按照随机数字表法分为对照组与试验组,各43例。对照组行双极电凝扁桃体切除术治疗,试验组行改良低温等离子扁桃体切除术治疗。比较两组手术时间、术中出血量、术后白膜形成和脱落时间等围手术期指标;比较两组术前及术后5 d肿瘤坏死因子-α(TNF-α)、血清降钙素原(PCT)及超敏C反应蛋白(hs-CRP)指标水平;比较两组术前、术后1个月生活质量评分。结果:试验组手术时间、白膜完全覆盖时间及白膜脱落时间均短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05)。术后5 d,两组TNF-α、hs-CRP及PCT水平均高于术前,但试验组均低于对照组,差异均有统计学意义(P<0.05)。术后1个月,两组生理职能、活力、躯体疼痛及一般健康状况评分均高于术前,且试验组均高于对照组,差异均有统计学意义(P<0.05)。结论:改良低温等离子法切除扁桃体可缩短手术时间、白膜完全覆盖时间及白膜脱落时间,减少患者术中出血量,减少炎症反应,提高患者生活质量。Objective:To compare the effects of modified low-temperature plasma method on perioperative indicators,serum inflammatory factors,and quality of life in patients undergoing tonsillectomy.Method:A total of 86 patients with tonsillectomy admitted to Xinyu People's Hospital from June 2021 to September 2023 were selected and divided into control group and experimental group according to random number table method,with 43 cases in each group.The control group received bipolar electrocoagulation tonsillectomy,and the experimental group received modified low-temperature plasma tonsillectomy.Perioperative indexes such as surgery time,intraoperative blood loss,postoperative white membrane formation and shedding time were compared between the two groups.The levels of tumor necrosis factor-α(TNF-α),serum procalcitonin(PCT)and hypersensitive C reactive protein(hs-CRP)before and 5 d after surgery were compared between the two groups.The quality of life scores before and one month after surgery were compared between the two groups.Result:The surgery time,the white membrane formation time and white membrane shedding time in the experimental group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,the differences were statistically significant(P<0.05).At 5 d after surgery,the levels of TNF-α,hs-CRP and PCT in two groups were higher than those before surgery,but those in experimental group were lower than those in control group,the differences were statistically significant(P<0.05).One month after surgery,the scores of physiological function,vitality,body pain and general health status in two groups were higher than those before surgery,and those in experimental group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Modified low-temperature plasma method in tonsillectomy can shorten the surgery time,the white membrane formation time and white membrane shedding time,reduce the amount of intraoperative

关 键 词：低温等离子 双极电凝 扁桃体切除术 改良 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]