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鼻内镜下低温等离子射频消融术治疗儿童鼾症的疗效及术后反应观察

刘学军 黄赛瑜 高金建 倪丽艳 凡启军 张初琴 陈波蓓

中国内镜杂志2016,Vol.22Issue(6):5-8,4.
中国内镜杂志2016,Vol.22Issue(6):5-8,4.DOI:10.3969/j.issn.1007-1989.2016.06.002

鼻内镜下低温等离子射频消融术治疗儿童鼾症的疗效及术后反应观察

Effect and postoperative reaction of nasal endoscopic low temperature plasma radiofrequency ablation on children with snoring

刘学军 1黄赛瑜 1高金建 1倪丽艳 1凡启军 1张初琴 1陈波蓓1

作者信息

  • 1. 温州医科大学附属第二医院 耳鼻咽喉科,浙江 温州 325027
  • 折叠

摘要

Abstract

Objective To study the effect and postoperative reaction of nasal endoscopic low temperature plasma radiofrequency ablation on children with snoring. Methods 104 cases with snoring received surgical treatment from May 2013 to May 2015 were divided into experimental group and control group. The experimental group patients re-ceived nasal endoscopic low temperature plasma radiofrequency ablation, the control group received adenoidectomy curettage combined with tonsillectomy. Then the surgery condition, postoperative pain, stress response and ventila-tion function were compared between the two groups. Results Operation indicator: the experimental group operation time, postoperative pain time, symptoms remission time, intraoperative blood loss were significantly lower than the control group ( < 0.05); Pain degree: 6 h, 24 h, 48 h, 72 h after surgery, the experimental group VAS score were significantly lower than that in control group ( < 0.05); Stress reaction: 24 h after surgery, the experimental group patients serum MDA, 8-isoPG, 3-NT content were significantly lower than that in control group, SOD, GSH content were significantly higher than that in control group ( < 0.05); Ventilation function: 6 months after surgery, the ex-perimental group AHI, ODI, SLT90%, LAT were significantly lower than that in control group, LSaO2 were signifi-cantly higher than that in control group ( <0.05). Conclusion Nasal endoscopic low temperature plasma radiofre-quency ablation can reduce surgical trauma and relieve postoperative pain and stress reaction, improve ventilation function, it's an ideal operative method for the treatment of children with snoring.

关键词

内窥镜/低温等离子射频消融术/鼾症/应激反应/通气功能

Key words

endoscopy/low temperature plasma radiofrequency ablation/snoring/stress/ventilation function

分类

医药卫生

引用本文复制引用

刘学军,黄赛瑜,高金建,倪丽艳,凡启军,张初琴,陈波蓓..鼻内镜下低温等离子射频消融术治疗儿童鼾症的疗效及术后反应观察[J].中国内镜杂志,2016,22(6):5-8,4.

中国内镜杂志

OA北大核心CSTPCD

1007-1989

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