雾化吸入预防小儿扁桃体腺样体术后出血的疗效观察

Clinical observation of aerosol inhalation prevention tonsillectomy hemorrhage in children

目的对雾化吸入治疗对小儿扁桃体腺样体术后出血的影响进行探讨分析。方法将我科室2016年8月~2017年7月收治的400例采用低温等离子射频消融术行扁桃体腺样体切除术患儿的临床资料进行回顾性分析。患儿随机分成治疗组240例,对照组160例,治疗组患儿于术后采用吸入用布地奈德混悬液行雾化吸入治疗,对照组患儿给予氧气吸入治疗,其余治疗相同,观察患儿术后出血情况。结果治疗组与对照组进行比较,患儿术后原发性出血率差异无统计学意义(P>0.05),继发性出血、总出血率差异有统计学意义(P<0.05)。结论雾化吸入治疗可以减轻黏膜水肿,改善小儿扁桃体腺样体术后咽痛,对预防术后继发性出血有较好的治疗效果,且患儿无明显不良反应。

Objective To investigate the effect of atomization inhalation in the prevention of of hem-orrhage after tonsillectomy. Methods From August 2016 to July 2017,400 children who had tonsillectomies or/and adenoidectomies with low-temperature plasma scalpel,were selected and randomly divided into budesonide group（240 cases）and oxygen group（160 cases）.The therapeutic effect to prevent hemorrhage was observed between the two groups. Results The Incidence of postoperative hemorrhage in budesonide group was sig-nificantly lower than that in oxygen group,and the difference was statistically significant（P〈0.05）. Conclusion It is obvious effective that budesonide atomization inhalation can prevent hemorrhage after tonsillectomywithout adverse reaction.