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腺切除术对患有复发性上呼吸道感染的儿童的影响
M M H Akanda1, H S M Hossain, M M Islam
1Dr Md Mobarak Hosen Akanda, Registrar, Department of ENT & Head-Neck Surgery, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh;
Mymensingh medical journal : MMJ
|December 31, 2025
概括
腺切除术显著减少了重复性上呼吸道感染 (URTI) 的儿童的喉疼痛,咳严重程度和发烧. 超过一半的儿科患者在手术后出现了症状改善.
科学领域:
- 耳鼻喉科-头部和部外科手术
- 儿科手术 儿科手术
- 传染性疾病 传染性疾病
背景情况:
- 腺切除术是一种常见的儿科手术手术.
- 重复的上呼吸道感染 (URTI) 是儿童腺切除术的主要症状.
- 对URTI进行腺切除术的疗效进行评估对于临床决策至关重要.
研究的目的:
- 调查腺切除术在儿童患者中减少与复发性URTI相关的症状的有效性.
- 分析腺切除术对儿童发烧,喉疼痛和咳严重性的影响.
- 为了评估复发性URTI的腺切除术后儿童的症状改善.
主要方法:
- 进行了一项前性观察性研究,涉及82名被诊断患有复发性URTI的儿童,他们接受了腺切除术.
- 关于发烧,喉疼痛 (视觉模拟量表) 和咳严重程度 (咳症状评分) 的数据是在手术前和2周,1个月和3个月后收集的.
- 进行了统计分析,以比较手术前后的症状严重程度.
主要成果:
- 手术后3个月,51.2%的患者报告疼痛强度降低. 白天咳的频率从手术前的17.4%下降到3个月后的7.3%.
- 夜间咳的流行率从手术前的64.6% (仅在清醒状态) 下降到3个月后的35.4%.
- 平均体温从手术前的38.4°C显著下降到3个月后的37.7°C (p<0.001),表明有效降低了发烧.
结论:
- 腺切除术在缓解喉疼痛,咳严重程度和发烧的儿童中表现出显著的有效性,这些儿童患有复发性URTI.
- 大约一半的儿科患者在接受腺切除术后出现了显著的症状改善.
- 这些发现支持腺切除术作为儿童复发性URTI的有效治疗方法,从而改善生活质量.
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