重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2014年
5期
561-562,565
,共3页
药物疗法%腺样体切除术%慢性鼻-鼻窦炎%临床疗效
藥物療法%腺樣體切除術%慢性鼻-鼻竇炎%臨床療效
약물요법%선양체절제술%만성비-비두염%림상료효
drug therapy%adenoidectomy%chronic rhinosinusitis%clinical effect
目的：观察腺样体切除术治疗儿童慢性鼻-鼻窦炎（C RS ）的临床疗效，探讨其术后并发症和术后康复情况。方法选取2011年2月至2013年4月来东莞市厚街医院耳鼻咽喉外科住院治疗的C RS患儿100例，分为实验组和对照组，每组各50例。实验组给予药物联合腺样体切除术治疗，对照组给予单纯药物内服加外服治疗。观察两组术后并发症及术后恢复情况，对比两组治疗效果。结果总有效率实验组为96％，对照组为60％，两者差异有统计学意义（ P＜0．05）；与术前比较，实验组术后打鼾、流脓涕、窦口通畅等情况差异有统计学意义（P＜0．05）。而且，实验组和对照组在住院天数方面比较相差较大，对照组不仅住院费用高、住院天数长，复发率也相对高（P＜0．05）。结论腺样体切除术联合药物治疗儿童CRS较单纯药物治疗方式疗效显著，值得临床推广。
目的：觀察腺樣體切除術治療兒童慢性鼻-鼻竇炎（C RS ）的臨床療效，探討其術後併髮癥和術後康複情況。方法選取2011年2月至2013年4月來東莞市厚街醫院耳鼻嚥喉外科住院治療的C RS患兒100例，分為實驗組和對照組，每組各50例。實驗組給予藥物聯閤腺樣體切除術治療，對照組給予單純藥物內服加外服治療。觀察兩組術後併髮癥及術後恢複情況，對比兩組治療效果。結果總有效率實驗組為96％，對照組為60％，兩者差異有統計學意義（ P＜0．05）；與術前比較，實驗組術後打鼾、流膿涕、竇口通暢等情況差異有統計學意義（P＜0．05）。而且，實驗組和對照組在住院天數方麵比較相差較大，對照組不僅住院費用高、住院天數長，複髮率也相對高（P＜0．05）。結論腺樣體切除術聯閤藥物治療兒童CRS較單純藥物治療方式療效顯著，值得臨床推廣。
목적：관찰선양체절제술치료인동만성비-비두염（C RS ）적림상료효，탐토기술후병발증화술후강복정황。방법선취2011년2월지2013년4월래동완시후가의원이비인후외과주원치료적C RS환인100례，분위실험조화대조조，매조각50례。실험조급여약물연합선양체절제술치료，대조조급여단순약물내복가외복치료。관찰량조술후병발증급술후회복정황，대비량조치료효과。결과총유효솔실험조위96％，대조조위60％，량자차이유통계학의의（ P＜0．05）；여술전비교，실험조술후타한、류농체、두구통창등정황차이유통계학의의（P＜0．05）。이차，실험조화대조조재주원천수방면비교상차교대，대조조불부주원비용고、주원천수장，복발솔야상대고（P＜0．05）。결론선양체절제술연합약물치료인동CRS교단순약물치료방식료효현저，치득림상추엄。
Objective To observe the clinical effect of adenoidectomy in the treatment of children with chronic rhinosinusitis ,to discuss its postoperative complications and postoperative rehabilitation .Methods Chose 100 children with chronic rhinosinusitis from February 2011 to April 2013 treated in our hospital as observation objects ,the cases were randomly divided into experimental group and control group ,with 50 cases in each group ,patients in experimental group was given drug and adenoidectomy treatment ;patients in control group was given drug orally external treatment only .Observed the postoperative complications and postoperative recovery ,then compared treatment effect of two groups .Results The total efficiency of experimental group was 96% ,control group was 60% ,the difference was statistically significant (P<0 .05);compared with those before operation ,there were significant differ-ence in experiment group in postoperative snoring ,purulence stuff ,sinus patency ,etc(P<0 .05) .Moreover ,experimental group and control group had difference in hospitalization days .The control group not only had high cost and long hospital stay but also had relatively high recurrence rate (P<0 .05) .Conclusion The curative effect of adenoidectomy combined with drugs in the treatment of children with chronic rhinosinusitis was much better than drug treatment only .
