中国实用儿科杂志2024，Vol.39Issue(8)：607-612,6.DOI:10.19538/j.ek2024080611
腺样体扁桃体切除术与儿童过敏性鼻炎:一项纵向数据分析
Association between adenotonsillectomy and allergic rhinitis in children:A longitudinal database analysis
摘要
Abstract
Objective This study aimed to explore the impact of obstructive sleep apnea(OSA)on Allergic rhinitis(AR)in children by analyzing the changes in AR treatment after adenotonsillectomy(AT).Methods The patients with AR who underwent AT from 2015 to 2018 were recruited as surgical group.According to the time of outpatient and emergency visits,age and gender,propensity score matching(PSM)was used to match the children at 1∶2 as the control group.The number of visits,medical costs and medication prescriptions were compared respectively between the two groups one year before and one year after surgery.Primary outcomes included number of visits,total cost of visits,total cost of medications,total cost of AR medicationsand itschange.Results This study included 205 patients in the surgical group(AT)and 508 patients in the control group.There was no statistically significant difference in the number of visits between the surgical group and the control group in the first year/pre-operation(P=0.22).The total cost,cost of medications,cost of AR medications of surgical group were higher than those of the control group(P＜0.001,0.001,and 0.002,respectively).The number of visits in the surgical group decreased by 28.3％one year after AT(95％CI:25.2％～31.7％,P＜0.001).The total medical expenses,total drug expenses,and AR drug expenses of the surgical group decreased one year after AT:total medical expenses(37.5％,95％CI:37.3％～37.6％,P＜0.001),total drug expenses(39.1％,95％CI:38.8％～39.3％,P＜0.001),and AR drug expenses(39.5％,95％CI:39.1％～39.8％,P＜0.001).Conclusion AT can reduce the number of hospital visits and the cost of treatment and medication.Monitoring and treating adenoid and tonsil hypertrophy and OSA may help to optimizetreatment strategies for AR control.关键词
儿童/过敏性鼻炎/腺样体扁桃体切除术/阻塞性睡眠呼吸暂停Key words
child/allergic rhinitis/adenotonsillectomy/obstructive sleep apnea分类
医药卫生引用本文复制引用
梁洁琼,王睿坤,陆颖霞,占小俊,崔英,谷庆隆..腺样体扁桃体切除术与儿童过敏性鼻炎:一项纵向数据分析[J].中国实用儿科杂志,2024,39(8):607-612,6.基金项目
首都卫生发展科研专项资助(首发2022-1-2101) （首发2022-1-2101）
北京市自然科学基金资助(7232010) （7232010）
