低温等离子腺样体及扁桃体切除术治疗小儿OSAHS对其睡眠质量的影响观察

Effect of Low-temperature Plasma Adenoidectomy and Tonsillectomy on Sleep Quality of Children with OSAHS

目的:探讨低温等离子腺样体及扁桃体切除术治疗小儿阻塞性睡眠呼吸暂停低通气综合征(OSAHS)对其睡眠质量的影响。方法:选取2018年1月至2020年12月南京鼓楼医院集团宿迁医院收治的OSAHS患儿120例作为研究对象,根据手术方法的不同将患儿分为对照组和观察组,每组60例。对照组行常规动力系统切除术,观察组行低温等离子腺样体及扁桃体切除术,术后随访,观察2组患儿的临床疗效、手术效果以及睡眠质量。结果:观察组临床总有效率为95.00%,对照组的总有效率为80.00%,观察组的有效率高于对照组(P<0.05);观察组患儿术中出血量、手术时间、症状缓解时间、术后疼痛时间均优于对照组(P<0.05);观察组术后3个月日间过度嗜睡、打鼾、行为、睡眠相关性呼吸问题得分均低于对照组(P<0.05);观察组术后并发症总发生率(5.00%)显著低于对照组(16.67%),差异有统计学意义(P<0.05)。结论:低温等离子腺样体及扁桃体切除术治疗小儿OSAHS疗效显著,可改善患儿手术效果、睡眠质量,且安全可靠。

Objective:To investigate the effect of low-temperature plasma adenoidectomy and tonsillectomy on sleep quality of children with obstructive sleep apnea hypopnea syndrome(OSAHS).Methods:A total of 120 children with OSAHS admitted to Nanjing drum tower hospital group Suqian people′s hospital were selected as the research subjects between January 2018 and December 2020,and divided into control group and study group according to the surgical method with 60 cases in each group.Children in the control group were treated with conventional resection of power systems,and children in the study group were treated with low-temperature plasma adenoidectomy and tonsillectomy.Follow-up was conducted after surgery.The clinical effects,surgical results and sleep quality before and after surgery were compared between the two groups.Results:The total effective rate of the study group was 95.00%,and that of the control group was 80.00%.The effective rate of the study group was higher than that of the control group(P<0.05).The intraoperative blood loss,operation time,symptom relief time,and postoperative pain duration of the study group were better than those of the control group(P<0.05).The scores of excessive daytime sleepiness,snoring,behavior,and sleep-related breathing problems of the study group were lower than those of the control group at 3 months after surgery(P<0.05).The total incidence of postoperative complications in the study group(5.00%)was significantly lower than that in the control group(16.67%)(P<0.05).Conclusion:Low-temperature plasma adenoidectomy and tonsillectomy is effective in the treatment of children with OSAHS,which can improve the surgical results and sleep quality of children.Besides,it is safe and reliable.