摘要
目的探讨低温等离子射频消融术在慢性扁桃体炎患者中的应用效果.方法选取2022年3月—2023年3月该院收治的60例慢性扁桃体炎患者为研究对象,按照随机数字表法将其分为对照组和观察组.对照组(n=30)采用扁桃体切除术,观察组(n=30)实施低温等离子射频消融术.对比两组围术期指标、疼痛程度、血清炎性因子水平、并发症.结果观察组手术时间(14.99±3.92)min、饮食恢复时间(7.19±0.62)d、白膜脱落时间(11.14±2.29)d均短于对照组的(38.79±7.62)min、(10.84±2.13)d、(14.11±3.64)d,术中出血量(13.33±1.42)mL少于对照组的(40.12±5.36)mL,组间差异有统计学意义(P<0.05).术前,两组疼痛视觉模拟评分对比,差异无统计学意义(P>0.05);术后1、3、7、14 d,观察组疼痛视觉模拟评分分别为(3.84±0.36)分、(3.01±0.28)分、(1.14±0.18)分、(0.83±0.08)分,均低于对照组的(6.42±0.43)分、(4.92±0.35)分、(3.54±0.27)分、(2.29±0.21)分,组间差异有统计学意义(P<0.05).术前,两组血清炎症因子比较,差异无统计学意义(P>0.05),术后,观察组的C反应蛋白水平(4.58±0.65)mg/L、白细胞介素-6水平(150.36±18.92)ng/mL、肿瘤坏死因子-α水平(11.24±1.52)ng/mL均低于对照组的(9.13±1.08)mg/L、(221.42±21.85)ng/mL、(25.53±2.46)ng/mL,组间差异有统计学意义(P<0.05);观察组的并发症总发生率为6.67%,低于对照组的13.33%,差异无统计学意义(P>0.05).结论将低温等离子射频消融术应用于慢性扁桃体患者中效果肯定,可缓解疼痛,降低炎性水平,有助于患者快速恢复正常的生理功能,且安全性高.
Objective To investigate the effect of hypoplasma radiofrequency ablation in patients with chronic tonsillitis.Methods 60 patients with chronic tonsillitis admitted to the hospital from March 2022 to March 2023 were selected as the research objects and divided into A control group and an observation group according to the random number table method.The control group(n=30)was treated with tonsillectomy,and the observation group(n=30)was treated with low-temperature plasma radiofrequency ablation.The perioperative indicators,pain degree,serum inflammatory factor levels and complications were compared between the two groups.Results The operation time(14.99±3.92)min,diet recovery time(7.19±0.62)d,and albuginea shedding time(11.14±2.29)d in the observation group were shorter than(38.79±7.62)min,(10.84±2.13)d,(14.11±3.64)d in the control group.The intraoperative blood loss was(13.33±1.42)mL in the control group,which was less than(40.12±5.36)mL in the control group,the difference between the two groups were statistically significant(P<0.05).Before operation,there was no significant difference between the two groups in pain Visual Analogue Score(P>0.05).The pain Visual Analogue Scale scores of the observation group were(3.84±0.36)points,(3.01±0.28)points,(1.14±0.18)points and(0.83±0.08)points at 1,3,7 and 14 days after operation,respectively,the scores were lower than(6.42±0.43)points,(4.92±0.35)points,(3.54±0.27)points,(2.29±0.21)points of the control group,the differences were statistically significant(P<0.05).Before operation,there was not significat difference in seru inflammatory factors between the two groups(P>0.05),after operation the levels of C-reactive protein(4.58±0.65)mg/L,interleukin-6(150.36±18.92)ng/mL,tumor necrosis factor-α(11.24±1.52)ng/mL in the observation group were lower than(9.13±1.08)mg/L,(221.42±21.85)ng/mL,(25.53±2.46)ng/mL in the control group,the differences between the groups were statistically significant(P<0.05).The total incidence of complications in the observatio
作者
唐浩
TANG Hao(Department of Otolaryngology,Caoxian People's Hospital,Heze Shandong,274400,China)
出处
《反射疗法与康复医学》
2023年第15期79-81,85,共4页
Reflexology And Rehabilitation Medicine
关键词
慢性扁桃体炎
低温等离子射频消融术
围术期指标
疼痛程度
血清炎症因子水平
Chronic tonsillitis
Hypothermia plasma radiofrequency ablation
Perioperative index
Pain level
Serum level of inflammatory factors
