摘要
目的:探究部分喉切除术后炎性肉芽肿患者采用地塞米松注射液雾化吸入联合电子喉镜下圈套技术治疗效果。方法:回顾性分析2015年12月—2022年10月赣南医学院第一附属医院收治100例部分喉切除术后炎性肉芽肿患者资料。将其根据治疗方案分为对照组(n=48)与研究组(n=52),对照组采用电子喉镜下圈套技术,研究组在对照组基础上采用地塞米松注射液雾化吸入。比较两组治疗总有效率,疗效相关时间,声带形态学评分,生活质量评分,不良反应发生率。结果:研究组治疗总有效率高于对照组(P<0.05)。研究组声嘶、犬吠样咳嗽、吸气性喉鸣改善时间及治愈时间均较对照组短(P<0.05)。治疗后,研究组声带形态学评分明显低于对照组(P<0.05)。治疗后,研究组躯体功能、心理功能、社会功能及物质生活评分均高于对照组(P<0.05)。治疗后,研究组与对照组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:部分喉切除术后炎性肉芽肿患者采用地塞米松注射液雾化吸入联合电子喉镜下圈套技术治疗效果及安全性优异。
Objective:To explore the treatment effect of Dexamethasone Injection for aerosol inhalation combined with snare technology via electrolaryngoscope on patients with inflammatory granuloma after partial laryngectomy.Method:The data of 100 patients with inflammatory granuloma after partial laryngectomy admitted to First Affiliated Hospital of Gannan Medical University from December 2015 to October 2022 were retrospective analyzed.According to the treatment plan,they were divided into the control group(n=48)and study group(n=52),the control group was given snare technology via electrolaryngoscope,while the study group was given Dexamethasone Injection for aerosol inhalation on the basis of the control group.The treatment total effective rate,efficacy related time,vocal cord morphology scores,quality of life scores and the incidence of adverse reactions were compared between the two groups.Result:The treatment total effective rate in the study group was higher than that in the control group(P<0.05).The improvement time of hoarseness,barking cough,inspiratory stridor and cure time in the study group were shorter than those in the control group(P<0.05).After treatment,vocal cord morphology scores in the study group was significantly lower than that in the control group(P<0.05).The scores of physical function,psychological function,social function and material life in the study group were higher than those in the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the study group and the control group(P>0.05).Conclusion:Dexamethasone Injection for aerosol inhalation combined with snare technology via electrolaryngoscope in patients with inflammatory granuloma after partial laryngectomy has excellent treatment effect and safety.
作者
刘雪梅
张建华
金日群
廖志王莹
LIU Xuemei;ZHANG Jianhua;JIN Riqun;LIAO Zhiwangying(First Affiliated Hospital of Gannan Medical University,Ganzhou 341000,China;不详)
出处
《中国医学创新》
CAS
2023年第31期51-54,共4页
Medical Innovation of China
关键词
地塞米松注射液雾化吸入
电子喉镜
圈套技术
部分喉切除手术
术后炎性肉芽肿
Dexamethasone Injection for aerosol inhalation
Snare technology
Electrolaryngoscope
Partial laryngectomy
Postoperative inflammatory granuloma
