低温等离子与传统扁桃体切除术治疗慢性扁桃体炎的有效性评估分析

Evaluation and Analysis of the Effectiveness of Low-temperature Plasma and Traditional Tonsillectomy in the Treatment of Chronic Tonsillitis

目的 研究慢性扁桃体炎手术治疗中低温等离子切除和传统扁桃体切除方法的临床价值。方法 随机选取2021年10月—2024年5月福建省周宁县医院收治的100例慢性扁桃体炎患者为研究对象,依据不同手术方法分为对照组和观察组,各50例。对照组采用传统扁桃体切除术,观察组采用低温等离子切除术。对比分析两组的临床相关指标、炎症因子指标、疼痛程度、并发症发生情况以及生活质量。结果 观察组手术用时(20.76±7.11) min、术后白膜形成时间(9.36±1.99) h、住院时间(7.61±1.33) d均短于对照组的(28.56±6.85) min、(11.49±2.43) h、(9.21±1.43) d,观察组手术期间出血量(10.34±2.89) mL低于对照组的(16.34±3.11) mL,差异有统计学意义(t=5.586、4.795、5.793、9.993,P均<0.05)。术后1 d,两组患者的炎症因子水平高于入院时,观察组C反应蛋白、降钙素原、白细胞计数及白细胞介素-6水平均低于对照组,差异有统计学意义(P均<0.05)。术后1 d、术后3 d和术后7 d,观察组疼痛评分均低于对照组,差异有统计学意义(P均<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<0.05)。出院前,两组患者的生活质量评分高于入院时;观察组生理职能、活力、躯体疼痛、社会功能评分均高于对照组,差异有统计学意义(P均<0.05)。结论 慢性扁桃体炎患者采取手术治疗时运用低温等离子切除术可减少手术中的创伤,减轻术后炎症反应及并发症风险,缩短住院时间,更利于患者早期康复,提高患者的生活质量。

Objective To study the clinical value of low temperature plasma resection and traditional tonsillectomy in the surgical treatment of chronic tonsillitis.Methods A total of 100 patients with chronic tonsillitis admitted to Zhoun⁃ing County Hospital of Fujian Province from October 2021 to May 2024 were randomly selected as the research ob⁃jects.According to different surgical methods,they were divided into control group and observation group,with 50 cases in each group.The control group was treated with traditional tonsillectomy,and the observation group was treated with low temperature plasma resection.The clinical related indexes,inflammatory factor indexes,pain degree,complications and quality of life of the two groups were compared and analyzed.Results The operation time(20.76±7.11)min,postoperative albuginea formation time(9.36±1.99)h and hospitalization time(7.61±1.33)d in the observa⁃tion group were shorter than those in the control group(28.56±6.85)min,(11.49±2.43)h and(9.21±1.43)d,and the amount of bleeding during operation in the observation group(10.34±2.89)mL was lower than that in the control group(16.34±3.11)mL,and the differences were statistically significant(t=5.586,4.795,5.793,9.993,all P<0.05).One day after operation,the levels of inflammatory factors in the two groups were higher than those at admission,and the levels of C-reactive protein,procalcitonin,white blood cell count and interleukin-6 in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).At 1 d,3 d and 7 d after op⁃eration,the pain scores of the observation group were lower than those of the control group,and the differences were statistically significant(all P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Before discharge,the quality of life scores of the two groups were higher than those at admission;the scores of physiological function,vitality,body pain and social function in the observation group were higher than those in the control group,and the differences were sta⁃tistically significant(all P<0.05).Conclusion The use of low-temperature plasma resection in patients with chronic tonsillitis during surgical treatment can reduce the trauma during surgery,reduce the risk of postoperative inflamma⁃tory response and complications,and shorten the length of hospital stay.It is more conducive to early rehabilitation of patients and improves the quality of life of patients.