摘要
目的探讨软腭肥厚对低温等离子射频消融术治疗腺样肥大患儿术后通气功能的影响,为临床治疗腺样体肥大提供科学依据。方法选择2013年12月~2019年12月南京医科大学第二附属医院和解放军海军特色医学中心行低温等离子射频消融术的100例腺样体肥大患儿为研究对象。按照患儿检出是否有软腭肥厚情况,分为观察组(软腭肥厚)22例和对照组(无软腭肥厚)78例。记录患儿年龄、性别、病程、手术时间、临床疗效、护理满意率及术后不良反应发生情况。分别于术前和术后3个月监测氧减指数(oxygen depletion index,ODI)、吸紊乱指数(respiratory disturbanceindex,R DI)、最长呼吸暂停时间(longest apneatime,LAT)、最低夜间血氧饱和度(lowestoxygen saturation,LSaO)的变化。结果两组患儿在性别、年龄、病程及手术时间等的一般资料方面比较,差异无统计学意义(P>0.05)。治疗前,两组患儿在ODI、RDI、LAT、LSaO方面,差异无统计学意义(P>0.05);治疗后,观察组患儿临床疗效总有效率为72.73%(16/22)低于对照组的80.77%(63/78),差异有统计学意义(P<0.05);观察组患儿LSaO较对照组增长少,在ODI、RDI、LAT方面较对照组降低少,差异有统计学意义(P<0.05);观察组护理满意率低于对照组,差异有统计学意义(P<0.05);所有患儿均未出现鼻痒、鼻塞、流涕、头晕、嗜睡等情况,行多道睡眠图监测无结果异常。结论软腭肥厚对低温等离子射频消融术治疗腺样体肥大患儿术后通气功能产生影响,主要表现在ODI、RDI、LAT、LSaO方面,需要注意定时监测。
OBJECTIVE To explore the effect of soft palate hypertrophy on ventilation function of children with adenoid hypertrophy after low temperature plasma radiofrequency ablation,and to provide scientific basis for clinical treatment of adenoid hypertrophy.METHODS100 children with adenoid hypertrophy who underwent lowtemperature plasma radiofrequency ablation in the Second Affiliated Hospital of Nanjing Medical University and the Chinese People’s Liberation Army Navy Special Medical Center from December 2013 to December 2019 were selected as the research objects.According to the detected soft palate hypertrophy,the children were divided into observation group(22 cases)and control group(78 cases).The age,sex,course of disease,operation time,clinical curative effect,nursing satisfaction rate and postoperative adverse reactions were recorded.Oxygen depletion index(ODI),respiratory disturbance index(RDI),longest apnea time(LAT)and lowest night oxygen saturation were monitored before and3 months after operation(lowest oxygen saturation,LSaO)changes.RESULTS There was no significant difference between the two groups in terms of gender,age,course of disease and operation time(P>0.05).Before treatment,there was no significant difference in ODI,RDI,LAT and LSaObetween the two groups(P>0.05).After treatment,the total effective rate of clinical efficacy in the observation group was 72.73%(16/22),which was lower than that in the control group 80.77%(63/78),and the difference was statistieally significant(P<0.05).Compared with the control group,the LSaOin the observation group increased less,and the ODI,RDI and LAT decreased less,with statistical significance(P<0.05).The nursing satisfaction rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).All the children did not have nasal itching,nasal congestion,runny nose,dizziness,lethargy,etc.,and there was no abnormal result after multi-channel somno graphy monitoring.CONCLUSION Soft palate hypertrophy affects the ventilation function of children with adenoid hypertrophy after low-temperature plasma radiofrequency ablation,which is mainly manifested in ODI,R DI,LAT and LSaO,so it is necessary to pay attention to regular monitoring.
作者
李亮
王正茂
陈仁杰
俞祖华
LI Liang;WANG Zhengmao;CHEN Renjie;YU Zuhua(Department of Otolaryngology Head and Neck Surgery,the Second Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu,210003,China;Department of Otolaryngology Head and Neck Surgery,The Chinese People's Liberation Army Navy Special Medical Center,Shanghai,200052,China)
出处
《中国耳鼻咽喉头颈外科》
CSCD
2022年第7期456-459,共4页
Chinese Archives of Otolaryngology-Head and Neck Surgery
关键词
外科手术
软腭肥厚
低温等离子射频消融术
腺样体肥大
通气功能
Surgical Procedures
Operative
soft palate hypertrophy
low-temperature plasma radiofrequency ablation
adenoid hypertrophy
ventilation function
