鼻内镜经口腺样体消融术联合扁桃体切除术治疗儿童鼾症伴变应性鼻炎的疗效

Efficacy of Endoscopic Oral Adenoid Ablation Combined with Tonsillectomy in the Treatment of Child Snoring with Allergic Rhinitis

目的探讨鼻内镜经口腺样体低温等离子刀消融术与扁桃体切除术联合对儿童鼾症伴变应性鼻炎临床疗效的影响。方法选取我院2018年1月~2020年1月收治的鼾症伴变应性鼻炎患儿88例,随机分为观察组(45例)与对照组(43例),对照组接受常规药物治疗,观察组在对照组基础上接受鼻内镜经口腺样体低温等离子刀消融术联合扁桃体切除术治疗。比较两组治疗前后VAS评分、多导睡眠监测(PSG)指标及最低血氧水平。结果治疗后,观察组VAS评分为(2.56±0.68)分,低于对照组的(5.26±1.65)分,差异有统计学意义(P<0.05);观察组治疗后观察组多导睡眠监测呼吸暂停与低通气A+H为(3.25±1.07)分,低于对照组的(5.96±1.57)分,差异有统计学意义(P<0.05);治疗后观察组睡眠过程中最低血氧为97.00%,高于对照组的86.00%,差异有统计学意义(P<0.05)。结论鼻内镜经口腺样体低温等离子刀消融术联合扁桃体切除术治疗小儿鼾症伴变应性鼻炎可有效缓解临床症状,减轻呼吸暂停及改善血氧水平。

Objective To explore the effect of nasal endoscopic oral adenoid low-temperature plasma knife ablation combined with tonsillectomy on the clinical efficacy of children with snoring with allergic rhinitis.Methods A total of 88 children with snoring and allergic rhinitis who were admitted to our hospital from January 2018 to January 2020 were selected and randomly divided into observation group(45 cases)and control group(43 cases).The control group received conventional drug treatment on the basis of the control group,the observation group received nasal endoscopic transoral adenoid ablation with low-temperature plasma knife combined with tonsillectomy.The VAS scores,polysomnography(PSG)indicators and minimum blood oxygen levels were compared between the two groups before and after treatment.Results After treatment,the observation group's VAS score was(2.56±0.68)points,which was lower than the control group's(5.26±1.65)points,the difference was statistically significant(P<0.05);the observation group after treatment was monitored by polysomnography for apnea compared with hypoventilation,the A+H score was(3.25±1.07),which was lower than that of the control group(5.96±1.57),the difference was statistically significant(P<0.05);the lowest blood oxygen during sleep in the observation group after treatment was 97.00%,higher than 86.00%of the control group,the difference was statistically significant(P<0.05).Conclusion Endoscopic oral adenoid low temperature plasma knife ablation combined with tonsillectomy for the treatment of pediatric snoring with allergic rhinitis could effectively relieve clinical symptoms,relieve apnea and improve blood oxygen levels.