低温等离子扁桃体减容联合腺样体消融术治疗小儿阻塞性睡眠呼吸暂停低通气综合征效果分析

发布时间：2018-04-05 19:28

本文选题：小儿阻塞性睡眠呼吸暂停低通气综合征　切入点：治疗　出处：《内科》2016年06期

【摘要】：目的探讨低温等离子扁桃体减容联合腺样体消融术治疗小儿阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床效果。方法将2014年2月至2015年11月我院收治的OSAHS患儿92例采用随机数字表法分为研究组和对照组,每组46例。研究组患儿采用低温等离子扁桃体减容联合腺样体消融术治疗,对照组患儿采用低温等离子扁桃体切除联合腺样体消融术治疗,比较两组患儿手术治疗时间、术中出血量、术后24 h疼痛评分及临床治疗效果。结果两组患儿手术治疗时间比较差异无统计学意义(P0.05);研究组患儿术中出血量、术后24 h疼痛评分均低于对照组(P0.05)。两组患儿治疗总有效率比较差异无统计学意义(P0.05)。结论低温等离子扁桃体减容联合腺样体消融术治疗小儿阻塞性睡眠呼吸暂停低通气综合征可减轻手术创伤,减少术中出血量、减轻术后疼痛,临床疗效显著,不失为一种较为理想的治疗方法。
[Abstract]:Objective to investigate the clinical effect of hypothermic plasma tonsil reduction combined with adenoid ablation in the treatment of obstructive sleep apnea hypopnea syndrome (OSAHS) in children.Methods from February 2014 to November 2015, 92 children with OSAHS were randomly divided into study group and control group with 46 cases in each group.The children in the study group were treated with hypothermia plasma tonsillectomy combined with adenoid ablation, and the control group were treated with hypothermic plasma tonsillectomy and adenoidectomy.Pain score and clinical treatment effect 24 hours after operation.Results there was no significant difference in the time of operation between the two groups, and the amount of intraoperative bleeding in the study group was lower than that in the control group at 24 h after operation (P 0.05).There was no significant difference in the total effective rate between the two groups (P 0.05).Conclusion hypothermia plasma tonsil reduction combined with adenoidectomy in the treatment of obstructive sleep apnea hypopnea syndrome in children can reduce surgical trauma, reduce intraoperative bleeding and relieve postoperative pain.It is an ideal treatment method.
【作者单位】：广东潮州市人民医院耳鼻喉科;
【分类号】：R766.9

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