慢性扁桃体炎扁桃体切除术术前术后的低温等离子治疗 Farhan Ahmad 教授,Yalikun Ya Sheng 教授,Nilipaer Alimu 助理教授,Zhong 高级医生

Da Qing, Doctor Sadia Hassan, Guzhali Nuer • Nizhamu, Doctor Maiherefu Guli • Wufuer, Muredili. Mutalifu
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Based on the voluntary principle and different treatment plans, The patients were divided into two groups. 50 patients who underwent dissection tonsillectomy treatment were selected into the control group, and 50 patients who underwent low-temperature plasma tonsillectomy were selected into the observation group. The differences in clinical indicators between the two groups of patients were compared, The pain levels of patients at different postoperative periods were evaluated, and the differences in serum inflammatory factor levels were detected. Results: Compared with the control group, after surgical treatment, the operation time, and intra-operative bleeding volume of the blood observation group were significantly shorter, and the difference was statistically significant (P<0.05); 1, 3, 5 and 7 days after surgery in the observation group. The Visual analogue scale VAS pain scores at 7 days were lower than those in the control group, and the difference was statistically significant (P<0.05); after surgery in the observation group, the patient's high-sensitivity C-reactive protein (hs-CRP) (14.18±0.51) mg/L, Tumor necrotic factor-alpha (TNF-α) (4.23±0.31) pg/ml was significantly less, and the difference was statistically significant (P<0.05); 5 patients in the observation group suffered from postoperative bleeding and complications The incidence rate was 16.00%, which was significantly lower than that of the control group, and the difference was statistically significant (χ2=4.588, P<0.05). Conclusion: From our study it was able to show that tonsillectomy for adults and children with recurrent tonsillitis were widely used which improves health and quality of life and reduces the need to consume medical resources. 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引用次数: 0

摘要

摘要] 目的 探讨低温等离子扁桃体切除术治疗慢性扁桃体炎合并扁桃体肥大患者的临床疗效。方法:随机选取2021年8月-2023年8月新疆医科大学第一附属医院收治的100例慢性扁桃体炎合并扁桃体肥大患者作为研究对象。根据自愿原则和不同的治疗方案,将患者分为两组。对照组 50 例,采用剥离扁桃体切除术治疗;观察组 50 例,采用低温等离子扁桃体切除术治疗。比较两组患者临床指标的差异,评估患者术后不同时期的疼痛程度,检测血清炎症因子水平的差异。结果与对照组相比,血液观察组患者手术治疗后,手术时间、术中出血量明显缩短,差异有统计学意义(P<0.05);观察组患者术后1、3、5、7天。7天时视觉模拟量表VAS疼痛评分均低于对照组,差异有统计学意义(P<0.05);观察组术后患者高敏C反应蛋白(hs-CRP)(14.18±0.51)mg/L、肿瘤坏死因子-α(TNF-α)(4.23±0.31)pg/ml明显低于对照组,差异有统计学意义(P<0.05);观察组5例患者术后出血及并发症发生率为16.00%,明显低于对照组,差异有统计学意义(χ2=4.588,P<0.05)。结论我们的研究表明,扁桃体切除术在成人和儿童复发性扁桃体炎患者中得到了广泛应用,它改善了患者的健康和生活质量,减少了医疗资源的消耗。将低温等离子扁桃体切除术应用于慢性扁桃体炎合并扁桃体肥大患者的临床治疗中,患者的术中失血量明显减少,患者的临床疼痛得到进一步缓解,患者的血清炎症因子水平得到调整。
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At Low Temperature Plasma Preoperative and Postoperative of Chronic Tonsillitis Tonsillectomy Farhan Ahmad, Professor Yalikun Ya Sheng, Assistant Professor Nilipaer Alimu, Senior Doctor Zhong
Objective to explore the clinical efficacy of low-temperature plasma tonsillectomy in the treatment of patients with chronic tonsillitis and tonsillar hypertrophy. Methods: 100 patients with chronic tonsillitis and tonsillar hypertrophy admitted to the first affiliated hospital of Xinjiang Medical University from August 2021 to August 2023 were randomly selected as the research subjects. Based on the voluntary principle and different treatment plans, The patients were divided into two groups. 50 patients who underwent dissection tonsillectomy treatment were selected into the control group, and 50 patients who underwent low-temperature plasma tonsillectomy were selected into the observation group. The differences in clinical indicators between the two groups of patients were compared, The pain levels of patients at different postoperative periods were evaluated, and the differences in serum inflammatory factor levels were detected. Results: Compared with the control group, after surgical treatment, the operation time, and intra-operative bleeding volume of the blood observation group were significantly shorter, and the difference was statistically significant (P<0.05); 1, 3, 5 and 7 days after surgery in the observation group. The Visual analogue scale VAS pain scores at 7 days were lower than those in the control group, and the difference was statistically significant (P<0.05); after surgery in the observation group, the patient's high-sensitivity C-reactive protein (hs-CRP) (14.18±0.51) mg/L, Tumor necrotic factor-alpha (TNF-α) (4.23±0.31) pg/ml was significantly less, and the difference was statistically significant (P<0.05); 5 patients in the observation group suffered from postoperative bleeding and complications The incidence rate was 16.00%, which was significantly lower than that of the control group, and the difference was statistically significant (χ2=4.588, P<0.05). Conclusion: From our study it was able to show that tonsillectomy for adults and children with recurrent tonsillitis were widely used which improves health and quality of life and reduces the need to consume medical resources. When low-temperature plasma tonsillectomy is used in the clinical treatment of patients with chronic tonsillitis and tonsillar hypertrophy, the inoperative blood loss of the patients is significantly reduced, the clinical pain of the patients is further relieved, and the serum inflammatory factor levels of the patients are adjusted.
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