摘要
目的比较连云港市及周边地区儿童因扁桃体生理性肥大导致的睡眠打鼾伴憋气患儿进行传统和囊内手术方法切除扁桃体的临床效果。方法选取我院2007年6月至2012年9月份我科进行扁桃体部分切除加腺样体切除的患儿40例（B组），并与进行传统的扁桃体加腺样体切除的患儿45例（A组）进行比较，对比术前与术后血清免疫球蛋白变化情况，术后疼痛时间及程度、创面修复、患儿恢复正食欲时间和恢复正常活动时间的差异。结果A组进行传统扁桃体切除术，术前1天及术后1月两组血清IgG、IgM、IgA差异无统计学意义（P〉0．01），术后1周两组血清IgC、IgM、IgA差异有统计学意义（P〈0．01），A组术后1周免疫球蛋白水平稍有下降，但是差异无统计学意义（P〉0．01），B组术后1周免疫球蛋白水平下降，差异有统计学意义（P〈0．01）。术后1周内患儿咽痛比较见表2，B组与A组比较，术后第二天咽痛评分明显降低，术后第1天两组评分最高，术后第2天B组评分明显降低，A组评分仍较高，第3天两组评分均明显降低，且两组术后第3天至第7天评分均逐渐降低。分析表明，术后第2天评分差异有统计学意义，其余6天咽痛无明显差异。B组在术后第2天咽痛评分明显降低。B组创面水肿程度轻，患儿恢复食欲、正常活动时间平均在术后第3天，而A组平均在术后第4～5天，差异有统计学意义。结论扁桃体部分切除加腺样体切除患儿术后1周内免疫球球蛋白下降水平较传统手术明显降低，术后咽痛症状及患儿恢复正常活动饮食均较传统手术后恢复快。
Objective To study the clinical effect of traditional and partial tonsillectomy for children with sleep snoring and suffocationwhich caused by tonsil hypertrophy in Lianyungang city and the surrounding areas. Methods 40 cases （group B ） received partial tonsillectomy and adenoidectomy and 45 cases （group A） received traditional surgery were inclued in the study, they were in hospital from June2007to September2012. Compare the level of immunoglobulin before and after the surgery, and compare the time and degree of pain postoperate, the time of operation wound repair and recovery of appetite and activity postoperate. Results The differencesofIgG, IgM and IgAlevels before and one month after surgery of groupApresentno statistically significant （P 〉0. 01 ）. A week potoperation, the differences of IgG, IgM and IgA levels between groupA and groupB were statistically significant（P 〈0. 01 ）. Immunoglobulins levels of both groupA and group B were decreased compared to preoperative, but the difference in groupA present no statistically significant （ P 〉 0. 01 ）. The sores of pharyngalgia for both groups were decreased after surgery, and differences between groupA and groupB were statistically significant at the second day postoperative. The wound edema in groupB was less, it cost less time for recover appetite and activity for patients in groupB. Conclusions The level of immunoglobulin forpatientsreeeived partial tonsillectomy and adenoidectomy was obviously lower than that in group A. Children in group B suffered less pain , and recover to normal appetite and activity sooner.
出处
《齐齐哈尔医学院学报》
2013年第19期2832-2834,共3页
Journal of Qiqihar Medical University
