摘要
目的探讨鼻内镜下腺样体切除术联合鼓膜置管治疗小儿顽固性分泌性中耳炎的临床效果。方法随机选取2020年4月-2021年11月泉州市儿童医院耳鼻咽喉科收治的80例小儿顽固性分泌性中耳炎患儿作为研究对象,用随机数表法分为对照组与观察组,各40例。对照组接受鼻内镜下腺样体切除术治疗,观察组接受鼻内镜下腺样体切除术联合骨膜置管治疗。比较两组患儿治疗有效率、听力状况、复发率、睡眠质量、并发症等。结果观察组治疗总有效率高于对照组(95.00%vs 72.50%),差异有统计学意义(χ^(2)=7.440,P<0.05)。两组患儿术前ABR-Ⅰ波阀值、ABR阀值比较,差异无统计学意义(P>0.05);术后12个月,观察组ABR-Ⅰ波阀值、ABR阀值均低于对照组,差异有统计学意义(t=5.720、8.838,P<0.05)。观察组复发率为5.00%,低于对照组的27.50%,差异有统计学意义(χ^(2)=7.440,P<0.05)。两组患儿术前PSQI评分比较,差异无统计学意义(P>0.05);术后7 d,观察组入睡时间、睡眠质量、睡眠效率、睡眠时间、催眠药物、对日间影响、睡眠障碍评分均高于对照组,差异有统计学意义(P<0.05)。两组并发症比较,差异无统计学意义(P>0.05)。结论临床治疗小儿顽固性分泌性中耳炎可在鼻内镜下腺样体切除术基础上再加以鼓膜置管,能更好地改善其听力和睡眠质量,降低复发率和并发症,进而提升疗效。
Objective To investigate the clinical effect of nasal endoscopic adenoidectomy combined with tympanic tube placement in the treatment of pediatric persistent secretory otitis media.Methods Randomly select 80 children with stubborn secretory otitis media admitted to the Otolaryngology Department of Quanzhou Children's Hospital from April 2020 to November 2021 as the research subjects.They are divided into a control group and an observation group using a random number table method,with 40 cases in each group.The control group received adenoidectomy under nasal endoscope,while the observation group received adenoidectomy under nasal endoscope combined with periosteal tube insertion.The treatment effectiveness,hearing status,recurrence rate,sleep quality and complications were compared between the two groups.Results The total effective rate of treatment in the observation group was significantly higher than that in the control group(95.00%vs 72.50%),the difference was statistically significant(χ^(2)=7.440,P<0.05).There was no statistically significant difference between the two groups in ABR-I wave threshold and ABR threshold before operation(P>0.05);at 12 months after operation,the ABR-I wave threshold and ABR threshold in the observation group were lower than those in the control group,and the difference was statistically significant(t=5.720,8.838,P<0.05).The recurrence rate of the observation group was 5.00%lower than that of the control group(27.50%),the difference was statistically significant(χ^(2)=7.440,P<0.05).There was no statistically significant difference in the preoperative PSQI scores between the two groups(P>0.05);on the 7th day after operation,the sleep time,sleep quality,sleep efficiency,sleep time,hypnotic drugs,daytime effect and sleep disorder score of the observation group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).The complications of the two groups were compared,the difference was not statistically significant(P>0.05).Con
作者
林少蓉
洪铭沿
郑燕青
LIN Shaorong;HONG Mingyan;ZHENG Yanqing(Department of Otolaryngology,Quanzhou Children's Hospital,Quanzhou,Fujian Province,362000 China)
出处
《中外医疗》
2022年第34期63-67,共5页
China & Foreign Medical Treatment
关键词
鼻内镜下腺样体切除术
鼓膜置管
小儿
分泌性
顽固性
中耳炎
听力
Nasal endoscopic adenoidectomy
Tympanic tube placement
Pediatric
Secretory
Persistent
Otitis media
Hearing
