CAJ | 학술논문

目的：观察腺样体切除术治疗儿童慢性鼻-鼻窦炎的临床疗效，探讨其临床适用性。方法选择2006年9月~2014年9月于我院接受治疗的112例慢性鼻-鼻窦炎患儿作为病例资料，随机分为研究组56例和对照组56例，对照组采用单纯的药物进行治疗，研究组采用腺样体切除术进行治疗。观察两组患儿的VAS评分、临床疗效及住院总时间、住院期间哭闹时间等各项临床指标，对研究结果进行分析比较。结果治疗后，研究组患儿的头痛、鼻塞等VAS评分均明显低于对照组，差异有统计学意义(P<0.05)，两组患儿的嗅觉减退VAS评分比较，差异无统计学意义(P跃0.05)；研究组患儿的总有效率及住院各项时间指标明显优于对照组，差异有统计学意义(P<0.05)。结论腺样体切除术治疗儿童慢性鼻-鼻窦炎效果显著，复发率低，安全、可靠，适合临床长期推广应用。
목적：관찰선양체절제술치료인동만성비-비두염적림상료효，탐토기림상괄용성。방법선택2006년9월~2014년9월우아원접수치료적112례만성비-비두염환인작위병례자료，수궤분위연구조56례화대조조56례，대조조채용단순적약물진행치료，연구조채용선양체절제술진행치료。관찰량조환인적VAS평분、림상료효급주원총시간、주원기간곡료시간등각항림상지표，대연구결과진행분석비교。결과치료후，연구조환인적두통、비새등VAS평분균명현저우대조조，차이유통계학의의(P<0.05)，량조환인적후각감퇴VAS평분비교，차이무통계학의의(P약0.05)；연구조환인적총유효솔급주원각항시간지표명현우우대조조，차이유통계학의의(P<0.05)。결론선양체절제술치료인동만성비-비두염효과현저，복발솔저，안전、가고，괄합림상장기추엄응용。
Objective To observe the clinical efficacy of children with chronic nasal-sinusitis of adenoidectomy treat-ment,and to explore its clinical applicability. Methods 112 cases of chronic rhino-sinusitis children from September 2006 to September 2014 in our hospital were treated as clinical data,they were randomly divided into study group and control group.The control group were treated with a simple drug treatment,the study group were treated with adenoidec-tomy treatment.The VAS scores,the clinical efficacy,the total time of hospitalization,crying time during hospitalization and the clinical parameters between two groups during hospitalization was observed and compared respectively. Results After treatment,children’s headache,stuffy nose and other VAS scores of study group was significantly lower than the control group respectively,with statistical difference(P<0.05),the hyposmia VAS score between two groups was compared respectively,with no statistical difference (P>0.05);The total efficiency,the clinical parameters of study group was better than that of control group respectively,with statistical difference(P<0.05). Conclusion Children of chronic nasal-sinusi-tis with denoidectomy treatment has significant effect and recurrence rate.It is safe and reliable for long-term clinical application.