[摘要] 目的 探討普米克令舒霧化吸入在顯微鏡下低溫等離子腺樣體切除術(shù)后的臨床療效。方法 方便選取2012年6月—2016年6月在該院耳鼻喉科行腺樣體切除治療的90例患者隨機(jī)分為兩組，對照組單用顯微鏡下低溫等離子腺樣體切除術(shù)治療，觀察組在此基礎(chǔ)上輔助普米克令舒霧化吸入治療，比較兩組患者的臨床療效、癥狀改善情況、并發(fā)癥發(fā)生率。結(jié)果 觀察組治療有效率為95.56%，明顯高于對照組的82.22%，兩組差異有統(tǒng)計學(xué)意義（P<0.05）；觀察組治療后咽喉部疼痛、水腫評分分別為（0.9±0.8）分、（1.0±0.7）分明顯低于對照組，而創(chuàng)面愈合時間（7.8±1.6）d、住院時間（7.2±1.4）d明顯較對照組短，兩組差異有統(tǒng)計學(xué)意義（P<0.05）；觀察組并發(fā)癥發(fā)生率6.67%明顯低于對照組，兩組差異有統(tǒng)計學(xué)意義（P<0.05）。結(jié)論 普米克令舒霧化吸入在顯微鏡下低溫等離子腺樣體切除術(shù)后的臨床療效確切，有利于術(shù)后咽喉部疼痛、水腫的快速消退，促進(jìn)創(chuàng)面愈合，具有積極的臨床意義。
　　[關(guān)鍵詞] 顯微鏡下低溫等離子腺樣體切除術(shù)；普米克令舒霧化吸入；臨床療效
　　[中圖分類號] R765 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-0742（2018）01（c）-0112-03
　　[Abstract] Objective This paper tries to investigate the clinical efficacy of pulmicort respirator inhalation under the microscope after low-temperature plasma adenoidectomy. Methods A total of 90 patients undergoing adenoidectomy in the department of ENT from June 2012 to June 2016 were randomly divided into two groups， the control group was treated with low temperature plasma adenoidectomy under microscope， on the basis of this， the observation group assisted Pulmicort inhalation therapy. The clinical efficacy， symptom improvement and complication rate were compared between the two groups. Results The therapeutic efficiency of observation group was 95.56%， significantly higher than 82.22% in the control group， and there was a statistical difference between the two groups （P<0.05）. Observation group after treatment of throat pain， edema scores respectively（0.9±0.8） points， （1.0±0.7）points， significantly lower than the control group， the wound healing time， length of hospital stay（7.8±1.6）d， （7.2±1.4）d， significantly shorter than the control group， the difference between the two groups was significant （P<0.05）； The incidence of complications of observation group was 6.67%， significantly lower than that in the control group. There were statistical differences between the two groups（P<0.05）. Conclusion The clinical curative effect pulmicort respiration inhalation under the microscope after low-temperature plasma adenoidectomy is exact， which is conducive to postoperative laryngeal pain， rapid edema and promote wound healing， with a positive clinical significance.
　　[Key words] Microscopic hypothermic plasma adenoidectomy； Pulmicort respirator inhalation； Clinical efficacy
　　腺樣體肥大是小兒常見疾病，常與慢性扁桃腺炎、扁桃體肥大合并存在，可并發(fā)分泌性中耳炎、鼻炎、鼻竇炎、阻塞性睡眠呼吸暫停低通氣綜合征等疾病，對患兒影響較大。該病多由腺樣體因炎癥的反復(fù)刺激而發(fā)生病理性增生而發(fā)，臨床以2～6歲兒童多見，表現(xiàn)為鼻堵、張口呼吸等癥狀，夜間癥狀加重。手術(shù)切除腺樣體是臨床常用的治療方法，但術(shù)后常出現(xiàn)咽喉部疼痛、水腫，使得創(chuàng)面恢復(fù)速度減慢[1]。普米克令舒霧化吸入對呼吸系統(tǒng)疾病有良好的效果。該研究分析2012年6月—2016年6月在該院耳鼻喉科行腺樣體切除治療的90例患者為研究對象，分析普米克令舒霧化吸入在顯微鏡下低溫等離子腺樣體切除術(shù)后的臨床療效，現(xiàn)具體匯報如下。

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