低温等离子切除术在慢性扁桃体炎患者中的应用效果

Application Effect of Low-temperature Plasma Resection in Patients with Chronic Tonsillitis

目的:探讨低温等离子切除术在慢性扁桃体炎(CT)患者中的应用效果。方法:选取2020年2月-2022年3月六盘水市人民医院收治的96例CT患者为研究对象。根据随机数表法将其分为观察组和对照组,各48例。对照组给予传统扁桃体剥离术,观察组给予低温等离子切除术。比较两组围手术期指标,术前及术后3 d炎症因子,术后6 h、48 h疼痛情况,术后并发症。结果:观察组手术时间、住院时间均短于对照组,术中出血量少于对照组,白膜覆盖时间早于对照组,差异有统计学意义(P<0.05)。术后3 d,观察组肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)、白细胞介素-6(IL-6)水平均低于对照组,差异有统计学意义(P<0.05)。术后6 h、48 h,观察组视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:低温等离子切除术能够缩短CT患者手术时间,改善围手术期指标,减轻炎症反应及疼痛程度,减少并发症,加快术后恢复,预后较好。

Objective:To investigate the application effect of low-temperature plasma resection in patients with chronic tonsillitis(CT).Method:A total of 96 CT patients admitted to Liupanshui People's Hospital from February 2020 to March 2022 were selected as the study objects.They were divided into observation group and control group according to random number table method,48 cases in each group.The control group was given traditional tonsil peel surgery,and the observation group was given low-temperature plasma resection.Perioperative indexes,inflammatory factors before and 3 d after surgery,pain at 6 h and 48 h after surgery,and postoperative complications were compared between the two groups.Result:The operation time and hospital stay in the observation group were shorter than those in the control group,the amount of intraoperative blood loss was less than that in the control group,and the white membrane covering time was earlier than that in the control group,the differences were statistically significant(P<0.05).At 3 d after surgery,the levels of tumor necrosis factor-α(TNF-α),hypersensitive C-reactive protein(hs-CRP)and interleukin-6(IL-6)in the observation group were lower than those in control group,the differences were statistically significant(P<0.05).At 6 h and 48 h after surgery,visual analogue scale(VAS)scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Low-temperature plasma resection can shorten the surgical time of CT patients,improve perioperative indicators,reduce inflammatory reactions and pain degree,reduce complications,accelerate postoperative recovery,and have a good prognosis.