儿童腺样体肥大和变应性鼻炎关系的临床研究

Clinical study on the relationship between adenoid hypertrophy and allergic rhinitis in children

目的探讨儿童腺样体肥大与合并变应性鼻炎的相关性。方法抽选2017年10月至2018年10月间收治的60例儿童腺样体肥大患者,均对患儿进行鼻咽侧位像DR扫描,测定腺样体/鼻咽腔比率(A/N比值)来评定腺样体的大小,采用视觉模拟量表(VAS)供患者对疾病程度和生活质量所受的影响程度进行自我评估,依据症状发作的频度,持续时间,对睡眠、学习及工作的影响程度评分。应用Spearman秩相关对二者相关性进行分析。结果60例腺样体肥大患儿中,合并变应性鼻炎20例,占33.3%。腺样体肥大1级患儿4例,视觉模拟量表(VAS)评分为1-4分;2级6例,视觉模拟量表(VAS)评分2-7分;3级10例,视觉模拟量表(VAS)评分4-10分。腺样体肥大等级越高,视觉模拟量表(VAS)评分也越高。腺样体肥大与合并变应性鼻炎呈正相关。结论儿童腺样体肥大和变应性鼻炎具有显著相关性,腺样体肥大也是造成变应性鼻炎患病的因素之一。儿童变应性鼻炎的临床治疗,明确主要病因与腺样体肥大有关时,可采用对腺样体肥大的专业治疗,可有效消除变应性鼻炎的病源,改善患儿变应性鼻炎的症状,提升患儿的生活质量。

Objective To investigate the correlation between adenoid hypertrophy and allergic rhinitis in children.Methods 60 children with adenoid hypertrophy were selected from October 2017 to October 2018,and the nasopharyngeal lateral imaging Dr scan was performed to determine the size of the adenoid body(A/N ratio).The visual analogue scale(VAS)was used to self-evaluate the degree of influence on the degree of disease and quality of life.Spearman rank correlation the correlation of the two was analyzed.Results Of 60 children with adenoid hypertrophy,20 had allergic rhinitis,accounting for 33.3%.There were 4 children with adenoid hypertrophy grade 1 with visual analogue scale(VAS)score of 1-4;6 with visual analogue scale(VAS)score of 2-7;10 with visual analogue scale(VAS)score of 4-10.the higher the adenoid hypertrophy grade,the higher the visual analog scale(vas)score.adenoid hypertrophy was positively associated with combined allergic rhinitis.Conclusions There is a significant correlation between adenoid hypertrophy and allergic rhinitis in children.One of the factors of inflammatory disease.The clinical treatment of allergic rhinitis in children,when it is clear that the main etiology is related to adenoid hypertrophy,the professional treatment of adenoid hypertrophy can effectively eliminate the source of allergic rhinitis,improve the symptoms of allergic rhinitis in children,and improve the quality of life of children.