低温等离子射频消融术对扁桃体腺样体肥大患儿疼痛程度、发音参数的影响

Effect of Low Temperature Plasma Radiofrequency Ablation on Pain Degree and Pronunciation Parameters in Children with Tonsil Adenoid Hypertrophy

目的探讨低温等离子射频消融术在扁桃体腺样体肥大患儿中的应用效果。方法选取2023年1—6月聊城市东昌府区妇幼保健院收治的60例扁桃体腺样体肥大患儿为研究对象,按随机数字表法将其分为对照组和观察组,各30例。对照组行切除术,观察组行低温等离子射频消融术,两组均随访至术后1个月。对比两组的手术相关指标、疼痛程度、发音参数、通气功能及并发症发生情况。结果观察组手术时间为(22.66±5.07)min、切口愈合时间为(10.88±0.64)d、通气恢复时间为(3.67±0.75)d、住院时间为(3.20±1.11)d,均短于对照组的(40.92±6.88)min、(11.19±1.31)d、(5.43±0.87)d、(4.95±2.33)d,术中出血量(2.71±1.02)mL,少于对照组的(15.71±1.02)mL,组间差异有统计学意义(P<0.05)。观察组疼痛程度轻于对照组,差异有统计学意义(P<0.05)。术后1个月,观察组振幅微扰、基频微扰均低于对照组,谐噪比高于对照组,组间差异有统计学意(P<0.05);观察组呼吸紊乱指数、氧减指数均低于对照组,夜间最低血氧饱和度高于对照组,组间差异有统计学意(P<0.05)。观察组并发症发生率为3.33%,低于对照组的26.67%,差异有统计学意义(P<0.05)。结论低温等离子射频消融术治疗扁桃体腺样体肥大患儿,有利于提升治疗效果,缩短手术时间,减少出血量,有利于发音及通气恢复,且安全可靠。

Objective To investigate the effect of low temperature plasma radiofrequency ablation in children with tonsil adenoid hypertrophy.Methods Sixty children with tonsil adenoid hypertrophy admitted to Liaocheng Dongchangfu District Maternal and Child Health Hospital from January to June 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 30 cases in each group.The control group underwent resection,and the observation group underwent low temperature plasma radiofrequency ablation,both groups were followed up to 1 month after surgery.The operative indicators,pain degree,pronunciation parameters,ventilation function and complications were compared between the two groups.Results In the observation group,the operation time was(22.66±5.07)min,the incision healing time was(10.88±0.64)d,the ventilation recovery time was(3.67±0.75)d,and the hospitalization time was(3.20±1.11)d,which were shorter than(40.92±6.88)min,(11.19±1.31)d,(5.43±0.87)d,(4.95±2.33)d of the control group,and the intraoperative blood loss was(2.71±1.02)mL,which was less than(15.71±1.02)mL of the control group,the differences between the groups were statistically significant(P<0.05).The severity of pain in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).After 1 month of operation,the amplitude perturbation and fundamental frequency perturbation in the observation group were lower than those in the control group,and the harmonic noise ratio was higher than that in the control group,the differences between the groups were statistically significant(P<0.05).The respiratory disorder index and oxygen reduction index of the observation group were lower than those of the control group,and the minimum blood oxygen saturation at night was higher than that of the control group,the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 3.33%,which was lower than 26.67% in the control group,and the difference was statistically significant(P<0.05).Conclusion Low temperature plasma radiofrequency ablation in the treatment of children with tonsil adenoid hyperplasia is beneficial to improve the therapeutic effect,shorten the operation time,reduce the amount of blood loss,and is conducive to the recovery of pronunciation and ventilation,and is safe and reliable.