低温等离子射频消融术治疗小儿阻塞性呼吸暂停综合征的临床疗效观察

目的:探究低温等离子射频消融术治疗小儿阻塞性呼吸暂停综合征的临床疗效。方法:收集2014年5月到2016年5月来我院就诊的小儿阻塞性呼吸暂停综合征患者72例,根据随机数字对照表分为对照组与试验组,各36例。对照组采用传统手术治疗切除患儿肥大的扁桃体及腺样体,试验组实施低温等离子射频消融术。比较两组患者临床疗效、行为状况及VAS评分。结果:治疗后,对照组的总有效率为91.67%;试验组的总有效率为94.45%,两组比较差异无统计学意义(P0.05);治疗后,两组患儿CBCL量表总评分均较治疗前明显降低(P0.05),抑郁、社交退缩、多动、违纪及攻击各项评分均明显降低(P0.05),但是试验组各项评分及总评分与对照组相比并无明显差异(P0.05);试验组手术后VAS评分明显低于对照组(P0.05)。结论:低温等离子射频消融术对小儿阻塞性呼吸暂停综合征患者有明显的治疗效果,且对患儿损伤较小。

Clinical Efficacy of Low Temperature Plasma Radiofrequency Ablation in the Treatment of Children with Obstructive Apnea Syndrome

ABSTRACT Objective: To investigate the clinical efficacy of low temperature plasma radiofrequency ablation in the treatment of children with obstructive apnea syndrome. Methods: 72 children with pediatric obstructive apnea syndrome who were treated in our hospital from May 2014 to May 2016 were collected and randomly divided into the control group and experiment group with 36 cases in each group. Patients in the control group were treated by traditional surgery with the remove of the hypertrophic tonsil and adenoid, while the patients in the experiment group were treated by low temperature plasma radiofrequency ablation. Then the clinical efficacy, behavior status and VAS scored in the two groups were observed and compared before and after the treatment. Results: The total effective rate in the experiment was 94.45%, which was higher than 91.67% in the control group, while there was no statistically significant difference between the two groups (P>0.05); After treatment, the CBCL scale total scores and depression, social withdrawal, hyperactivity, discipline and attacked scores of both groups were significantly decreased than those before treatment (P<0.05); There was no statistically significant difference in the CBCL scale total score and depression, social withdrawal, hyperactivity, discipline and attacked scores between the two groups after the treatment (P>0.05); After treatment, the VAS score of the experiment group was significant lower than that of the control group (P<0.05). Conclusion: Low temperature plasma radiofrequency ablation had obvious effect in the treatment of children with obstructive apnea syndrome, which could reduce the the CBCL scale score, improve the behavior and it was worthy of clinical promotion.