低温等离子射频辅助下行儿童扁桃体部分切除术临床价值探讨.docVIP

低温等离子射频辅助下行儿童扁桃体部分切除术的临床价值探讨 　　[摘要] 目的 着重于探讨低温等离子射频辅助下扁桃体部分切除术治疗儿童阻塞性睡眠呼吸暂停低通气综合征患儿的临床价值。方法 方便选取80例该院2013年2月―2016年5月期间收治的儿童阻塞性睡眠呼吸暂停低通气综合征患儿进行研究，按照随机数字法分组，因而实验组与对照组各40例。对照组采用扁桃体剥离切除术治疗，实验组采用低温等离子射频辅助下扁桃体部分切除术治疗，比较两组患儿的临床指标、术后疼痛评分与上呼吸道感染情况。结果实验组术后疼痛评分为（2.1±1.4）分，手术时间为（12.6±4.2）min，术中出血量为（7.5±4.2）mL，住院时间为（3.9±0.7）d，上呼吸道感染率为7.5%，明显优于对照组，差异有统计学意义（P0.05）。 结论 低温等离子射频辅助下扁桃体部分切除术不惟可降低儿童阻塞性睡眠呼吸暂停低通气综合征患儿的上呼吸道感染率，也可显著改善其临床指标，同时降低术后疼痛评分，临床应用价值极高。 　　[关键词] 低温等离子射频；扁桃体部分切除术；儿童阻塞性睡眠呼吸暂停低通气综合征；临床价值 　　[中图分类号] R766 [文献标识码] A [文章编号] 1674-0742（2017）05（b）-0053-03 　　[Abstract] Objective To discuss the clinical value of tonsillotomy assisted by low-temperature plasma radiofrequency in treatment of children with obstructive sleep apnea and hypopnea syndrome. Methods 80 cases of children with obstructive sleep apnea and hypopnea syndrome admitted and treated in our hospital from February 2013 to May 2016 were conveniently selected and randomly divided into two groups with 40 cases in each， the control group were treated with tonsillectomy by dissection， while the experimental group were treated with tonsillotomy assisted by low-temperature plasma radiofrequency， and the clinical indexes， postoperative pains scores and upper respiration tract infection were compared between the two groups. Results The postoperative pain score， operation time， intraoperative bleeding amount， length of stay and upper respiratory tract infection rate in the experimental group were respectively （2.1±1.4）points， （12.6±4.2）min， （7.5±4.2）mL， （3.9±0.7）d and 7.5%， which were obviously better than those in the control group， and the differences were obvious with statistical significance（P0.05）. Conclusion Tonsillotomy assisted by low-temperature plasma radiofrequency can not only reduce the upper respiration tract infection rate of children with obstructive sleep apnea and hypopnea syndrome， obviously improve the clinical indexes and reduce the postoperative pains scores and the clinical application value is extr