扁桃体和腺样体切除术对小儿鼾症的改善效果 及睡眠质量的影响

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键词扁桃体;腺样体切除术;鼾症;睡眠质量;儿童;疗效;低温等离子;呼吸暂停低通气指数

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

中图分类号：R726.1;R338.63 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.04.011

小儿鼾症作为临床中常见的呼吸科疾病，也被称为阻塞性睡眠呼吸暂停低通气综合征（ObstructiveSleep Apnea-hypopnea Syndrome，OSAHS），患儿的症状主要表现为睡眠中出现呼吸暂停现象，这和简单的打鼾有着极大的差别。（剩余5716字）