扁桃體和腺樣體切除術對小兒鼾癥的改善效果 及睡眠質量的影響

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鍵詞扁桃體;腺樣體切除術;鼾癥;睡眠質量;兒童;療效;低溫等離子;呼吸暫停低通氣指數

AbstractObjective：Toinvestigate theimprovingefectoftonsilectomyandadenoidectomyonpediatricsnoringandthempact onslepquality.Methods：Atotalof90childrenwithsnoring whoreceivedtreatmentinthehospitalfromOctober2O23 toOctober 2024 wereselectedasthesubjectsof hisstudy.Patientsinthecontrolgroup（45cases）whoadmitedfromOctober2023 toApril 2024 wastreatedwith traditionaltonsilectomyandadenoidectomy，whiletheobservationgroup（45cases）whoadmitedfromApril2024 toOctober 2O24was treatedwith tonsillctomyandendoscopic lowplasmaadenoidectomy.Surgeryduration，syptom improvement，sleepqualityandtreatmenteficiencybetwenthetwogroupswerecompared.Results：Thesurgerydurationofchildrenintheobservationgroupwasshortened，andtheecoveryofsymptomimprovementduringandaftertheoperationwassignificantly improved compared with the control group，with statistical significance（ P<0.05 ）.The indicators of apnea-hypopnea index，lowest blodoxygensaturation，Quebecsleepquestionnaire（QSQ）andEpworth sleppnessscale（ES）showed thatthe postoperative nasalventilation statusofchildren intheobservation groupwasbeterandtheprognosticslepqualitywassignificantly improved compared to the control group，with a statistical significance（ P<0.05 ）. The total effective rate in the observation group was 97. 78% ，which was statistically significant in the comparison with the rate of 82.22% in the control group（ P<0.05 ） . Conclusion;Thetonsillctomyandadenoidectomycombinedwithnasal endoscopyandlow-temperatureplasmaoperationintreating pediatricsoringcanbterimprovethesymptomsafterthetreatment，andsignificantlymproveiayobstructionandslpuality，which is worthy of promotion and application.

KeywordsTonsil；Adenoidectomy；Snoring；Sleepquality；Children；Curative efect;Lowtemperature plasma；Apnea-hypopnea index

中圖分類號：R726.1;R338.63 文獻標識碼：A doi：10.3969/j. issn.2095-7130.2025.04.011

小兒鼾癥作為臨床中常見的呼吸科疾病，也被稱為阻塞性睡眠呼吸暫停低通氣綜合征（ObstructiveSleep Apnea-hypopnea Syndrome，OSAHS），患兒的癥狀主要表現為睡眠中出現呼吸暫停現象，這和簡單的打鼾有著極大的差別。（剩余5716字）