目的 探讨鼾症患儿采用扁桃体低温等离子切除术+腺样体鼻内镜下低温等离子消融术治疗的效果.方法 选取2022年5月—2023年5月山东省嘉祥县人民医院收治的100例鼾症患儿作为研究对象,以随机数表法分为两组,各50例.对照组采用扁桃体摘除术+鼻内镜下腺样体切除术;观察组采用扁桃体低温等离子切除术+腺样体鼻内镜下低温等离子消融术.观察治疗效果,统计患儿围手术期治疗相关指标,并监测患儿的呼吸暂停-低通气指数、夜间最低血氧饱和度(Oxygen Saturation of Blood,SaO2)以评估患儿呼吸功能,最后利用儿童阻塞性睡眠呼吸暂停疾病特异性生活质量表(Disease Specific Quality of Life for Children with Obstruc-tive Sleep Apnea 18 Items Survey,OSA-18)评估患儿生活质量改善情况.结果 观察组患儿治疗总有效率为96.00%,高于对照组的80.00%,差异有统计学意义(χ2=6.061,P<0.05).观察组患儿的手术时间与住院时间均短于对照组,且出血量少于对照组,术后1、3 d的面部疼痛评分均低于对照组,差异有统计学意义(P均<0.05).术前,两组各呼吸功能指标对比,差异无统计学意义(P均>0.05);术后1个月,观察组呼吸暂停-低通气指数、OSA-18评分均低于对照组,而夜间最低SaO2 水平则高于对照组,差异有统计学意义(P均<0.05).结论 鼾症患儿采用扁桃体低温等离子切除术+腺样体鼻内镜下低温等离子消融术治疗的疗效可靠,能改善患儿呼吸功能,提高患儿生活质量.
Effect of Low Temperature Plasma Tonsillectomy Combined with Low Temperature Plasma Adenoid Ablation under Nasal Endoscope in the Treatment of Children with Snoring
Objective To investigate the effect of low temperature plasma ablation of tonsil and adenoid nasal endo-scope in children with snoring.Methods A total of 100 children with snoring in Jiaxiang County People's Hospital from May 2022 to May 2023 were selected as the study objects and were divided into two groups by random number table method,with 50 cases in each group.The treatment of tonsillectomy and endoscopic adenoidectomy was set as the control group.The treatment of low temperature plasma ablation of tonsil and low temperature plasma ablation of adenoid under nasal endoscope was set as the observation group.The effect of treatment were observed and the related indexes of perioperative treatment were counted.Apnea-hypopnea index and minimum oxygen saturation of blood(SaO2)at night were monitored to assess respiratory function.The Disease Specific Quality of Life for Children with Obstructive Sleep Apnea 18 Items Survey(OSA-18)was used to evaluate the improvement of children's quality of life.Results The overall effective rate of observation group was 96.00%,which was significantly higher than 80.00%of control group,the difference was statistically significant(χ2=6.061,P<0.05).The operation time and hospital stay in the observation group were shorter than those in the control group,and the amount of blood loss was less than that in the control group,the differences were statistically significant(all P<0.05).The facial pain scores of 1,3 d after the op-eration were lower than those in the control group,and the differences were statistically significant(both P<0.05).Be-fore operation,there was no statistical difference in respiratory function indexes between the two groups(P>0.05).1 month after operation,the apnea-hypopnea index and OSA-18 score in the observation group were lower than those in the control group,while the minimum SaO2 level at night was higher than that in the control group,and the differences were statistically significant(all P<0.05).Conclusion The effect of low temperature plasma ablation of tonsil and ad-enoid nasal endoscope on children with snoring is reliable,which can improve the respiratory function and the quality of life of the children.
Low temperature plasma tonsillectomyEndoscopic low temperature plasma adenoid ablationSnoring in childrenQuality of life
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