Application Effect on Low-Temperature Plasma Radiofrequency Ablation Combined With Nasal Irrigation With Saline at Different Temperatures in the Treatment of Children With Adenoid Hypertrophy
Objective To investigate the application effect of low-temperature plasma radiofrequency ablation combined with nasal irrigation with saline at different temperatures in the treatment of children with adenoid hypertrophy.Methods A total of 80 children with adenoid hypertrophy in People's Hospital Affiliated of Quanzhou Medical College from June 2021 to September 2023 were selected as the study objects,they were averagely divided into control group and observation group,and each group respectively included 40 cases.The control group were treated with low-temperature plasma radiofrequency ablation combined with nasal irrigation with saline at normal temperature,the observation group were treated with low-temperature plasma radiofrequency ablation combined with nasal irrigation with saline at low temperature.Then the operation time,intraoperative blood loss,hospitalization time,complications rates,degree of discomfort[faces pain scale-revised(FPS-R)score]and edema degree at different time after the operation,symptoms and signs(nasal congestion,snore and open mouth breathing)score and nasal volume before and after the operation of two groups were compared.Results The operation time and hospitalization time of the observation group were(13.96±3.03)min and(4.30±1.63)days,respectively,which were shorter than(16.25±3.56)min and(5.19±1.75)days of the control group,the intraoperative blood loss of the observation group was(10.62±1.92)mL,which was less than(15.59±2.35)mL of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications of the observation group was 0,which was lower than 17.50%of the control group,the difference was statistically significant(P<0.05).The FPS-R scores at postoperative 1,2 and 3 days of the observation group were(5.39±0.96)points,(3.96±0.69)points and(3.26±0.56)points,which were lower than(6.10±1.03)points,(4.39±0.75)points and(3.62±0.59)points of the control group,the differences were statistically significant(P<0.05).The degree of edema at postoperative 2 and 3 days of the observation group was better than that of the control group,and the differences were statistically significant(P<0.05).At postoperative 3 and 7 days,the symptom and sign scores of nasal congestion,snore and open mouth breathing of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).At postoperative 3 months,the nasal volume of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application effect of low-temperature plasma radiofrequency ablation combined with nasal irrigation with saline at low temperature in children with adenoid hypertrophy is relatively better,its safety is higher,and it can effectively control the surgical trauma and discomfort,so its application value in the children with adenoid hypertrophy is relatively higher.
low-temperature plasma radiofrequency ablationsaline at different temperaturesnasal irrigationadenoid hypertrophychildrennasal volume
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