低温等离子扁桃体部分切除术联合腺样体消融术治疗阻塞性睡眠呼吸暂停低通气综合征的效果分析

Effect Analysis of Low-Temperature Plasma Partial Tonsillectomy Combined with Adenoid Ablation in Treatment of Obstructive Sleep Apnea Hypopnea Syndrome

目的:分析低温等离子扁桃体部分切除术联合腺样体消融术治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的效果。方法:选取2020年1月—2021年9月盐城市第一人民医院收治的80例OSAHS患儿作为研究对象,采用抽签法分为对照组和观察组,各40例。对照组实施低温等离子扁桃体全切除术联合腺样体消融术,观察组实施低温等离子扁桃体部分切除术联合腺样体消融术。比较两组治疗效果。结果:观察组手术时间、住院时间短于对照组,术中出血量少于对照组,疼痛评分低于对照组,差异有统计学意义(P<0.05)。术后,两组呼吸暂停通气指数、最长呼吸暂停时间、儿童OSAHS疾病特异性生活质量调查表评分低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。两组临床疗效比较,差异无统计学意义(P>0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P=0.021)。结论:低温等离子扁桃体部分切除术联合腺样体消融术治疗OSAHS的效果显著,可缩短手术时间,减少术中出血量,促进术后恢复,改善通气功能,降低并发症发生率。

Objective:To analyze the effect of low-temperature plasma partial tonsillectomy combined with adenoid ablation in the treatment of obstructive sleep apnea hypopnea syndrome(OSAHS).Methods:A total of 80 children with OSAHS admitted to Yancheng No.1 People's Hospital from January 2020 to September 2021 were selected as the study subjects.They were divided into a control group and an observation group using a lottery method,with 40 cases in each group.The control group underwent low-temperature plasma complete tonsillectomy combined with adenoid ablation,while the observation group underwent lowtemperature plasma partial tonsillectomy combined with adenoid ablation.The therapeutic effects of two groups were compared.Results:The operation time and hospital stay in the observation group were shorter than those in the control group,the intraopera‑tive blood loss in the observation group was less than that in the control group,and the pain score in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After operation,the apnea-hypopnea index,the longest apnea time,and the scores of the OSAHS disease-specific quality of life questionnaire for children in two groups were lower than those before operation,and the scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in clinical efficacy between the two groups(P>0.05).The total incidence of complications in the observation group was lower than that in the control group,and the dif‑ference was statistically significant(P=0.021).Conclusion:The combination of low-temperature plasma partial tonsillectomy and adenoid ablation has a significant effect on the treatment of OSAHS.It can shorten the operation time,reduce intraoperative blood loss,promote postoperative recovery,improve ventilation function,and reduce the incidence of complications.