普米克令舒雾化吸入在显微镜下低温等离子小儿鼾症术后的临床疗效分析

　　[摘要] 目的 探讨普米克令舒雾化吸入在显微镜下低温等离子腺样体切除术后的临床疗效。方法 方便选取2012年6月—2016年6月在该院耳鼻喉科行腺样体切除治疗的90例患者随机分为两组，对照组单用显微镜下低温等离子腺样体切除术治疗，观察组在此基础上辅助普米克令舒雾化吸入治疗，比较两组患者的临床疗效、症状改善情况、并发症发生率。结果 观察组治疗有效率为95.56%，明显高于对照组的82.22%，两组差异有统计学意义（P<0.05）；观察组治疗后咽喉部疼痛、水肿评分分别为（0.9±0.8）分、（1.0±0.7）分明显低于对照组，而创面愈合时间（7.8±1.6）d、住院时间（7.2±1.4）d明显较对照组短，两组差异有统计学意义（P<0.05）；观察组并发症发生率6.67%明显低于对照组，两组差异有统计学意义（P<0.05）。结论 普米克令舒雾化吸入在显微镜下低温等离子腺样体切除术后的临床疗效确切，有利于术后咽喉部疼痛、水肿的快速消退，促进创面愈合，具有积极的临床意义。
　　[关键词] 显微镜下低温等离子腺样体切除术；普米克令舒雾化吸入；临床疗效
　　[中图分类号] R765 [文献标识码] A [文章编号] 1674-0742（2018）01（c）-0112-03
　　[Abstract] Objective This paper tries to investigate the clinical efficacy of pulmicort respirator inhalation under the microscope after low-temperature plasma adenoidectomy. Methods A total of 90 patients undergoing adenoidectomy in the department of ENT from June 2012 to June 2016 were randomly divided into two groups， the control group was treated with low temperature plasma adenoidectomy under microscope， on the basis of this， the observation group assisted Pulmicort inhalation therapy. The clinical efficacy， symptom improvement and complication rate were compared between the two groups. Results The therapeutic efficiency of observation group was 95.56%， significantly higher than 82.22% in the control group， and there was a statistical difference between the two groups （P<0.05）. Observation group after treatment of throat pain， edema scores respectively（0.9±0.8） points， （1.0±0.7）points， significantly lower than the control group， the wound healing time， length of hospital stay（7.8±1.6）d， （7.2±1.4）d， significantly shorter than the control group， the difference between the two groups was significant （P<0.05）； The incidence of complications of observation group was 6.67%， significantly lower than that in the control group. There were statistical differences between the two groups（P<0.05）. Conclusion The clinical curative effect pulmicort respiration inhalation under the microscope after low-temperature plasma adenoidectomy is exact， which is conducive to postoperative laryngeal pain， rapid edema and promote wound healing， with a positive clinical significance.
　　[Key words] Microscopic hypothermic plasma adenoidectomy； Pulmicort respirator inhalation； Clinical efficacy
　　腺樣体肥大是小儿常见疾病，常与慢性扁桃腺炎、扁桃体肥大合并存在，可并发分泌性中耳炎、鼻炎、鼻窦炎、阻塞性睡眠呼吸暂停低通气综合征等疾病，对患儿影响较大。该病多由腺样体因炎症的反复刺激而发生病理性增生而发，临床以2～6岁儿童多见，表现为鼻堵、张口呼吸等症状，夜间症状加重。手术切除腺样体是临床常用的治疗方法，但术后常出现咽喉部疼痛、水肿，使得创面恢复速度减慢[1]。普米克令舒雾化吸入对呼吸系统疾病有良好的效果。该研究分析2012年6月—2016年6月在该院耳鼻喉科行腺样体切除治疗的90例患者为研究对象，分析普米克令舒雾化吸入在显微镜下低温等离子腺样体切除术后的临床疗效，现具体汇报如下。

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