[1]袁 宇,林 兴,熊 琴,等.鼻内镜经口腺样体消融术联合扁桃体切除术治疗儿童鼾症伴变应性鼻炎的疗效[J].医学信息,2020,33(21):112-113,117.[doi:10.3969/j.issn.1006-1959.2020.21.034]
　YUAN Yu,LIN Xing,XIONG Qin,et al.Efficacy of Endoscopic Oral Adenoid Ablation Combined with Tonsillectomy in the Treatment of Child Snoring with Allergic Rhinitis[J].Medical Information,2020,33(21):112-113,117.[doi:10.3969/j.issn.1006-1959.2020.21.034]
点击复制

鼻内镜经口腺样体消融术联合扁桃体切除术治疗儿童鼾症伴变应性鼻炎的疗效()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年21期
页码:
112-113,117
栏目:
临床研究
出版日期:
2020-11-01

文章信息/Info

Title:
Efficacy of Endoscopic Oral Adenoid Ablation Combined with Tonsillectomy in the Treatment of Child Snoring with Allergic Rhinitis
文章编号:
1006-1959（2020）21-0112-03
作者:
袁 宇; 林 兴; 熊 琴; 等
（福建省南平市第二医院耳鼻咽喉科，福建 南平 354200）
Author(s):
YUAN Yu; LIN Xing; XIONG Qin; et al
(Department of Otorhinolaryngology,Nanping Second Hospital,Nanping 354200,Fujian,China)
关键词:
扁桃体切除术; 鼻内镜; 腺样体; 低温等离子刀消融术; 鼾症; 变应性鼻炎
Keywords:
Tonsillectomy; Nasal endoscopy; Adenoids; Low temperature plasma knife ablation; Snoring;  Allergic rhinitis
分类号:
R766.9
DOI:
10.3969/j.issn.1006-1959.2020.21.034
文献标志码:
A
摘要:
目的 探讨鼻内镜经口腺样体低温等离子刀消融术与扁桃体切除术联合对儿童鼾症伴变应性鼻炎临床疗效的影响。方法选取我院2018年1月~2020年1月收治的鼾症伴变应性鼻炎患儿88例，随机分为观察组（45例）与对照组（43例），对照组接受常规药物治疗，观察组在对照组基础上接受鼻内镜经口腺样体低温等离子刀消融术联合扁桃体切除术治疗。比较两组治疗前后VAS评分、多导睡眠监测（PSG）指标及最低血氧水平。结果 治疗后，观察组VAS评分为（2.56±0.68）分，低于对照组的（5.26±1.65）分，差异有统计学意义（P＜0.05）；观察组治疗后观察组多导睡眠监测呼吸暂停与低通气A+H为（3.25±1.07）分，低于对照组的（5.96±1.57）分，差异有统计学意义（P＜0.05）；治疗后观察组睡眠过程中最低血氧为97.00%，高于对照组的86.00%，差异有统计学意义（P＜0.05）。结论 鼻内镜经口腺样体低温等离子刀消融术联合扁桃体切除术治疗小儿鼾症伴变应性鼻炎可有效缓解临床症状，减轻呼吸暂停及改善血氧水平。
Abstract:
Objective To explore the effect of nasal endoscopic oral adenoid low-temperature plasma knife ablation combined with tonsillectomy on the clinical efficacy of children with snoring with allergic rhinitis.Methods A total of 88 children with snoring and allergic rhinitis who were admitted to our hospital from January 2018 to January 2020 were selected and randomly divided into observation group (45 cases) and control group (43 cases). The control group received conventional drug treatment on the basis of the control group, the observation group received nasal endoscopic transoral adenoid ablation with low-temperature plasma knife combined with tonsillectomy. The VAS scores, polysomnography (PSG) indicators and minimum blood oxygen levels were compared between the two groups before and after treatment.Results After treatment, the observation group’s VAS score was (2.56±0.68) points, which was lower than the control group’s (5.26±1.65) points,the difference was statistically significant (P＜0.05); the observation group after treatment was monitored by polysomnography for apnea compared with hypoventilation, the A+H score was (3.25±1.07), which was lower than that of the control group (5.96±1.57),the difference was statistically significant (P＜0.05); the lowest blood oxygen during sleep in the observation group after treatment was 97.00%,higher than 86.00% of the control group, the difference was statistically significant (P<0.05).Conclusion Endoscopic oral adenoid low temperature plasma knife ablation combined with tonsillectomy for the treatment of pediatric snoring with allergic rhinitis could effectively relieve clinical symptoms, relieve apnea and improve blood oxygen levels.

参考文献/References:

[1]郑灵,潘明金,王宏伟,等.低温等离子手术治疗儿童鼾症20例[J].重庆医学,2017,37(20):2281-2282.[2]李希平,贾弘光,闫素英,等.鼻内镜下4种腺样体微创切除术式的比较研究[J].中国微创外科杂志,2016,13(3):275-278,283.[3]程道俊,朱忠寿,洪艺云,等.低温等离子手术治疗儿童鼾症158例[J].中国医学创新,2015,9(6):102-103.[4]中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组.变应性鼻炎诊断和治疗指南(2015年,天津)[J].中华耳鼻咽喉头颈外科杂志,2016,51(1):6-24[5]中华耳鼻咽喉头颈外科杂志编委会,中华医学会耳鼻咽喉科学分会.儿童阻塞性睡眠呼吸暂停低通气综合征诊疗指南草案(乌鲁木齐)[J].中华耳鼻喉头颈外科杂志,2007,42(2):83-84.[6]程雷.儿童变应性鼻炎治疗中的药物选择和疗程依据[J].中华耳鼻咽喉头颈外科杂志,2011,46(1):15-16.[7]沙骥超,朱冬冬,董震,等.儿童变应性鼻炎临床特点分析及相关问题调查[J].中华耳鼻咽喉头颈外科杂志,2011,46(1):26-30.[8]邓碧凡,邱荣敏,廖敏,等.鼻内窥镜手术慢性鼻窦炎的疗效及相关因素研究[J].河北医药,2012,34(13):1944-1945.[9]蔡润茁,那学武,张品,等.影响鼻内窥镜手术治疗慢性鼻窦炎效果的相关因素分析[J].白求恩医学杂志,2014,12(6):589-590.[10]卢新丰,郭自奇.鼻内窥镜手术治疗慢性鼻-鼻窦炎临床疗效及影响因素[J].中外医疗,2010,29(12):10,12.[11]祁雪萍,安云芳,赵长青,等.鼻内镜手术治疗鼻窦炎合并支气管哮喘的疗效[J].中国眼耳鼻喉科杂志,2012,12(4):209-211.[12]Alberto M,Benedetta S,Massimo L,et al.The chemokine system in cancer biology and therapy[J].Cytokine&Growth Factor Reviews,2016,81(21):27-39.[13]Seminars V,Hans-Joachim A,Detlef S.Chemokines and chemokine Receptors as Therapeutic Targets in Lupus Nephritis[J].Seminars in Nephrology,2012,35(27):81-87.[14]韩娜,雍军,孙捷,等.194例慢性鼻窦炎、慢性鼻窦炎伴鼻息肉患者与支气管哮喘及肺功能的相关性分析[J].新疆医科大学学报,2011,34(9):925-929.

相似文献/References:

[1]梁恒伟,温丽慧,吕 忠,等.鼻内镜术后联合置管冲洗治疗真菌性上颌窦炎的疗效观察[J].医学信息,2018,31(04):104.[doi:10.3969/j.issn.1006-1959.2018.04.035]
　LIANG Heng-wei,WEN Li-hui,LV Zhong,et al.Clinical Observation on the Treatment of Fungal Maxillary Sinusitis after Nasal Endoscopy Combined with Catheterization and Rinsing[J].Medical Information,2018,31(21):104.[doi:10.3969/j.issn.1006-1959.2018.04.035]
[2]张兰宇.低温等离子射频刀扁桃体切除术治疗 慢性扁桃体炎的临床价值[J].医学信息,2018,31(05):110.[doi:10.3969/j.issn.1006-1959.2018.05.037]
　ZHANG Lan-yu.Clinical Value of Low Temperature Plasma Radio Frequency Knife Tonsillectomy in the Treatment of Chronic Tonsillitis[J].Medical Information,2018,31(21):110.[doi:10.3969/j.issn.1006-1959.2018.05.037]
[3]伍立科,朱同乐,李基强,等.鼻内镜下与外路泪囊鼻腔吻合术治疗慢性泪囊炎的疗效比较[J].医学信息,2021,34(13):122.[doi:10.3969/j.issn.1006-1959.2021.13.032]
　WU Li-ke,ZHU Tong-le,LI Ji-qiang,et al.Comparison of Curative Effect Between Endoscopic and External Dacryocystorhinostomy in the Treatment of Chronic Dacryocystitis[J].Medical Information,2021,34(21):122.[doi:10.3969/j.issn.1006-1959.2021.13.032]
[4]刘 弢.鼻内镜手术联合糖皮质激素治疗鼻息肉的疗效及对炎症指标的影响[J].医学信息,2021,34(23):123.[doi:10.3969/j.issn.1006-1959.2021.23.036]
　LIU Tao.Effect of Endoscopic Sinus Surgery Combined with Glucocorticoid on Nasal Polyps and its Influence on Inflammatory Indexes[J].Medical Information,2021,34(21):123.[doi:10.3969/j.issn.1006-1959.2021.23.036]
[5]付 健.鼻内镜联合支撑喉镜手术治疗声带息肉的临床效果及对患者嗓音功能的影响[J].医学信息,2022,35(24):118.[doi:10.3969/j.issn.1006-1959.2022.24.022]
　FU Jian.Clinical Effect of Nasal Endoscopy Combined with Self-retaining Laryngoscope in the Treatment of Vocal Cord Polyps and its Effect on Voice Function of Patients[J].Medical Information,2022,35(21):118.[doi:10.3969/j.issn.1006-1959.2022.24.022]
[6]唐朝明,唐绍荣,谢 敏,等.鼻内镜下微创手术治疗急性泪囊炎的临床研究[J].医学信息,2024,37(11):108.[doi:10.3969/j.issn.1006-1959.2024.11.020]
　TANG Chao-ming,TANG Shao-rong,XIE Min,et al.Clinical Study of Minimally Invasive Surgery Under Nasal Endoscope in the Treatment of Acute Dacryocystitis[J].Medical Information,2024,37(21):108.[doi:10.3969/j.issn.1006-1959.2024.11.020]

更新日期/Last Update: 1900-01-01