基层医院治疗儿童鼾症的体会

Clinical experience on treating children snoring disease from grassroots hospitals

目的:探讨手术摘除扁桃体或增殖体治疗儿童鼾症临床效果。方法:回顾性分析15例儿童鼾症病例。术前主要根据家长代诉的症状及基层医院一般能开展的检查为依据,在表面麻醉下行扁桃体或增殖体手术。结果:随访15例,时间1～5年,均未复发。结论:儿童鼾症临床症状较重(阻塞性呼吸困难),年龄在7岁以上,增殖体肥大者年龄在5岁以上,考虑为扁桃体或增殖体肥大者,应及时手术。在病例选择上年龄不宜太小,以免出现意外。

Objective To explore the clinical effect of tonsillectomy and adenoidectomy on children sleep snoring Methods To make retrospective analysis on 15 cases of children sleep snoring from January 1991 to January 2004 （among them, 13 cases had undergone surgical removal of tonsils; 2 cases had adenoidectomy）. Surgical procedures were taken in accordance to the complaints of children （through their parents） and the physical examinations available in grassroots hospitals. Results All surgeries were completed smoothly. 15 cases were monitored during a period of 1 to 5 years,none had complained the same disease. Conclusion Surgical procedures should be taken in a timely fashion when the child suffers from serious deteriorated inspiratory dyspnea beyond the age of 7 （in the case of adenoidal hypertrophy, beyond the age of 5） and with possible symptom of tonsil hypertrophy. Considering the poor resuscitation conditions of grassroots hospitals, in order to avoid accidents, children who are willing to cooperate and relatively older are preferred.