关于射频论文范文资料 与低温等离子射频辅助下行儿童扁桃体部分切除术的临床价值有关论文参考文献

《低温等离子射频辅助下行儿童扁桃体部分切除术的临床价值》：关于免费射频论文范文在这里免费下载与阅读,为您的射频相关论文写作提供资料。

[摘 要] 目的 着重于探讨低温等离子射频辅助下扁桃体部分切除术治疗儿童阻塞性睡眠呼吸暂停低通气综合征患儿的临床价值.方法 方便选取80例该院2013年2月—2016年5月期间收治的儿童阻塞性睡眠呼吸暂停低通气综合征患儿进行研究,按照随机数字法分组,因而实验组与对照组各40例.对照组采用扁桃体剥离切除术治疗,实验组采用低温等离子射频辅助下扁桃体部分切除术治疗,比较两组患儿的临床指标、术后疼痛评分与上呼吸道感染情况.结果实验组术后疼痛评分为（2.1±1.4）分,手术时间为（12.6±4.2）min,术中出血量为（7.5±4.2）mL,住院时间为（3.9±0.7）d,上呼吸道感染率为7.5%,明显优于对照组,差异有统计学意义（P<0.05）. 结论 低温等离子射频辅助下扁桃体部分切除术不惟可降低儿童阻塞性睡眠呼吸暂停低通气综合征患儿的上呼吸道感染率,也可显著改善其临床指标,同时降低术后疼痛评分,临床应用价值极高.

[关键词] 低温等离子射频；扁桃体部分切除术；儿童阻塞性睡眠呼吸暂停低通气综合征；临床价值

[中图分类号] R766 [文献标识码] A [文章编号] 1674-0742（2017）05（b）-0053-03

[Abstract] Objective To discuss the clinical value of tonsillotomy assisted by low-temperature plaa radiofrequency in treatment of children with obstructive sleep apnea and hypopnea syndrome. Methods 80 cases of children with obstructive sleep apnea and hypopnea syndrome admitted and treated in our hospital from February 2013 to May 2016 were conveniently selected and randomly divided into two groups with 40 cases in each, the control group were treated with tonsillectomy by dissection, while the experimental group were treated with tonsillotomy assisted by low-temperature plaa radiofrequency, and the clinical indexes, postoperative pains scores and upper respiration tract infection were compared between the two groups. Results The postoperative pain score, operation time, intraoperative bleeding amount, length of stay and upper respiratory tract infection rate in the experimental group were respectively （2.1±1.4）points, （12.6±4.2）min, （7.5±4.2）mL, （3.9±0.7）d and 7.5%, which were obviously better than those in the control group, and the differences were obvious with statistical significance（P<0.05）. Conclusion Tonsillotomy assisted by low-temperature plasma radiofrequency can not only reduce the upper respiration tract infection rate of children with obstructive sleep apnea and hypopnea syndrome, obviously improve the clinical indexes and reduce the postoperative pains scores and the clinical application value is extremely high.

[Key words] Low-temperature plaa radiofrequency； Tonsillotomy； Children with obstructive sleep apnea and hypopnea syndrome； Clinical value

兒童阻塞性睡眠呼吸暂停低通气综合征指由于患儿腺样体与扁桃体肥大造成的气道梗阻性呼吸道疾病.针对该类患儿应用扁桃体剥离切除术往往很难取得良好的应用成效,而选用低温等离子射频辅助下扁桃体部分切除术这种新型疗法不仅能够显著改善患儿的临床症状,也能够对其扁桃体功能进行保留,因而成为了临床较为热门与常用的一种治疗方式[1].在此背景下,该院在2013年2月—2016年5月方便选取了80例儿童阻塞性睡眠呼吸暂停低通气综合征患儿进行研究,探讨低温等离子射频辅助下扁桃体部分切除术对其术后疼痛评分、上呼吸道感染率与临床指标的影响,结果所获颇丰,现报道如下.

1 资料与方法

1.1 一般资料

资料来源于方便选取该院收治的儿童阻塞性睡眠呼吸暂停低通气综合征患儿,选取例数为80例,按随机数字法将其分为实验组和对照组.其中,40例实验组患儿中男患儿22例,女患儿18例；年龄在1～12岁,平均为（5.4±0.7）岁.对照组40例患儿,女17例,男23例；患儿年龄1～12岁,平均（5.5±0.5）岁.实验组患儿的基本资料与对照组比较差异无统计学意义（P>0.05）,可用于该研究比较.

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