儿童扁桃体腺样体低温等离子射频消融术后联合中药治疗的临床效果分析  

Clinical effect analysis of combined traditional Chinese medicine treatment after low-temperature plasma radiofrequency ablation of tonsil adenoids in children

作　　者：杨政[1] 汪秀峰 商海明[1] YANG Zheng;WANG Xiu-feng;SHANG Hai-ming(Yifeng County People's Hospital,Yichun 336300,China)

机构地区：[1]江西省宜丰县人民医院,336300

出　　处：《中国实用医药》2024年第24期146-149,共4页China Practical Medicine

摘　　要：目的 分析儿童扁桃体腺样体低温等离子射频消融术后在常规治疗基础上联合中药治疗的临床疗效。方法 100例行低温等离子射频消融术治疗的扁桃体肥大和腺样体肥大患儿,按照术后治疗方式的不同分为研究组与对照组,每组50例。对照组术后采用常规治疗,研究组术后在常规治疗基础上联合中药治疗。比较两组的术后并发症(出血、感染)发生率及术后1、2、3 d疼痛评分。结果 研究组患儿术后并发症发生率2.00%低于对照组的14.00%,差异有统计学意义(P<0.05)。研究组患儿术后1、2、3 d疼痛评分分别为(1.87±0.48)、(1.39±0.51)、(1.61±0.60)分,均低于对照组的(3.98±1.20)、(3.71±1.08)、(3.47±1.17)分,差异有统计学意义(P<0.05)。结论 儿童扁桃体腺样体低温等离子射频消融术后联合中药治疗临床效果更佳,其术后出血及感染发生率更低,术后疼痛程度较轻,值得临床推广应用。Objective To analyze the clinical efficacy of combined traditional Chinese medicine treatment after low-temperature plasma radiofrequency ablation of tonsil adenoids in children.Methods 100 children with tonsil hypertrophy and adenoid hypertrophy treated by low-temperature plasma radiofrequency ablation were divided into a study group and a control group according to different postoperative treatment methods,with 50 cases in each group.The control group received conventional treatment after surgery,and the study group was treated with traditional Chinese medicine on the basis of conventional treatment.The incidence of postoperative complications(bleeding,infection)and pain scores at 1,2 and 3 d postoperatively were compared between the two groups.Results The incidence of postoperative complications of 2.00%in the study group was lower than 14.00%in the control group,and the difference was statistically significant(P<0.05).The pain scores in the study group were(1.87±0.48),(1.39±0.51),and(1.61±0.60)points at 1,2,and 3 d postoperatively,which were lower than(3.98±1.20),(3.71±1.08),and(3.47±1.17)points in the control group,and the difference was statistically significant(P<0.05).Conclusion The combination of traditional Chinese medicine after low-temperature plasma radiofrequency ablation of tonsils and adenoids in children has a better clinical effect,with a lower incidence of postoperative bleeding and infection,and a lower level of postoperative pain,which is worthy of clinical promotion and application.

关 键 词：扁桃体肥大 腺样体肥大 低温等离子射频消融术 儿童 中药 

分 类 号：R47[医药卫生—护理学]