扁桃体实质内烙法治疗慢性扁桃体炎的临床研究
发布时间：2018-05-25 05:09
本文选题：扁桃体实质内烙 + 慢性扁桃体炎 ； 参考：《长春中医药大学》2016年硕士论文
【摘要】：目的:观察扁桃体实质内烙法治疗慢性扁桃体炎的临床实际疗效,对其有效性、并发症、及安全性进行临床客观评价。方法:采取随机单盲对照法进行研究,将符合标准的60例患者按照计算机随机数学表法按1/1的比例分为治疗组(扁桃体实质内烙法)和对照组(扁桃体表面烙法),每组30例。通过观察对比治疗前后两组症状、体征、一年内反复急性发作次数、及生活质量评分的改善情况,同时比较两组烙治术后疼痛时间、伪膜脱落时间及两组烙治次数之间的差异,综合评定两组之间的疗效。结果:两组在治疗过程中疼痛时间及伪膜脱落的时间方面差异无统计学意义(P㧐0.05);两组组内对比治疗前治疗随访后症状积分、体征积分、一年内急性反复发作次数、生活质量评分具有统计学意义(P㩳0.05),治疗前后有显著差异;两组之间相比较(P㧐0.05)无统计学差异,两组扁桃体肥大与治疗次数对比观察(P㩳0.05),在扁桃体Ⅱ°、Ⅲ°大情况下治疗组明显优于对照组,治疗次数和疗程明显比对照组短,具有显著性统计学差异。结论:扁桃体实质内烙法治疗慢性扁桃体炎临床疗效可靠、安全,可明显减少烙治次数,缩短疗程,改善症状、体征、反复发作次数、提高患者的生活质量水平,可做更深的研究和加以推广治疗。
[Abstract]:Objective: to observe the clinical effect of tonsillar intraparenchymal cauterization on chronic tonsillitis and evaluate its efficacy, complications and safety. Methods: a randomized single-blind controlled study was conducted. According to the computer random mathematical table, 60 patients were divided into treatment group (tonsil parenchymal cautery) and control group (tonsil surface cauterization, 30 cases in each group) according to the ratio of 1 / 1. By observing and comparing the improvement of symptoms, physical signs, repeated acute seizures and quality of life scores before and after treatment, the differences of pain time, pseudomembranous falling off time and the times of cauterization between the two groups were compared at the same time. Comprehensive evaluation of the efficacy between the two groups. Results: there was no significant difference between the two groups in the time of pain and pseudomembrane falling off in the course of treatment, there was no significant difference between the two groups in terms of the time of pain and pseudomembrane falling off, the scores of symptoms and signs, the times of acute recurrent attacks within one year were compared between the two groups. The scores of quality of life (QOL) were statistically significant (P < 0.05), but there was no significant difference between the two groups before and after treatment. The comparison of tonsil hypertrophy and treatment times between the two groups showed that the treatment group was superior to the control group under the condition of tonsil 鈪，
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