等离子手术对过敏性鼻炎伴扁桃体-腺样体肥大患儿睡眠的影响研究

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The Effect of Coblation Surgery on Sleep Quality in Children with Alergic Rhinitis and Tonsil-adenoid Hypertrophy

PAN Chenfei，DING Qunhui

（DepartmentofOtorhinolaryngologyngsuSuzhouOtorhnolaryngologyHspital，ngsuProvince，uzhou5ina）

AbstractObjective：Toinvestigatetheeficacyofcoblationsurgeryinchildrenwithalergichinitis（（AR）complicatedbytosil andadenoid hypertrophy（TAH）and itsimpactonsleepquality.Methods：Atotalof 6Ochildren with ARandTAHaccompanied bysleepdisturbances，whowereadmited totheDepartmentofOtorhinolaryngologyofourhospitalbetweenJuly2O2toJuly 2024，were enrolled asstudy subjects.They were divided into a control group（conventional adenotonsillectomy， n=30 ）and an observation group（coblation surgery， n=30 ）. Perioperative parameters，sleep quality（ assessed by the Pittsburgh Sleep Quality Index，PSQI），and pain levels（assessed bythe Visual Analogue Scale，VAS）were compared betwee thetwo groups.Results：The observationgroupshowedsignificantlylowerintraoperativebloodloss，shorterhospitalizationduration，andfasternasalpatencyre covery compared to the control group（ P<0.05） . Preoperatively，there were no significant differences in PSQI or VAS scores between the groups.At postoperativeday7PSQIand VASscores decreased significantly inboth groups，withamore pronouncedreduction observed in the observation group（ P<0.05 ）. Conclusion： Coblation surgery effectively improves sleep quality，alleviates nasal symptoms，reduces theoccurrence ofcomplications，andfacilitates postoperativerecovery inchildren with ARandTAH.

KeywordsAlergic rhinitis；Tonsils；Adenoid hypertrophy; Coblationsurgery;Sleepdisorders；Pain； Hospitalizationduration; Blood loss volume

中图分类号：R765.21；R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.07.008

过敏性鼻炎是一种由免疫球蛋白E（Immuno-globulinE，IgE）介导的鼻黏膜慢性炎症反应性疾病，在儿童中的患病率不断攀升。（剩余6768字）