地塞米松对等离子射频治疗扁桃体肥大术后临床效果分析

摘要

Objective To study the dexamethasone (DXM)clinical effects of plasma radiofrequency on tonsillectomy and pal-atopharyngoplasty(PPP).Method A cohort study was applied both in Apnea hypopnea index (AHI)and Visual Analogue Scale (VAS)of post surgery 7 days,150 cases of tonsil hypertrophy involed in this stuy,all of them used ArthroCare radiofrequency to divide tissue and coagulate vessels.Results post -7 days the VAS within DXMgroup mean (2.3 ±0.3)while (7.0 ±0.2)re-corded in control group.AHI reduced as much as 50% 1 month later.Of 150 cases,the Postoperative bleeding happen to reach the amount of 9.Conclusion DXMreduce plasma radiofrequency tonsillectomy VAS in post -7 days,in the contray,it may not reduce AHI of the tonsil hypertrophy patients.%目的：研究地塞米松对低温等离子消融治疗扁桃体肥大的临床疗效。方法：选取扁桃体三度肥大合并睡眠通气障碍的患者150例，单纯随机抽样，分为地塞米松组与对照组，各75例，记录术中出血量，比较术后7 d 疼痛视觉（VAS）评分。可视喉镜复查两组术后出血者伤口白膜形成情况。结果地塞米松组低温等离子术后7 d VAS 评分（2.3±0.3）比对照组术后（7.0±0.2分）少，AHI 指数前后均数分别为20±1.50、18±1.30。差异无统计学意义（P ＞0.05）。地塞米松组术后出血6例，出血率8％，对照组术后出血3例，出血率4％，可视喉镜复查白膜发现地塞米松组白膜形成时间较对照组延迟。结论：地塞米松可有效减少术后疼痛视觉评分，术后喉部适感有所减轻。但影响白膜形成的完整性，有可能等离子射频治疗扁桃体肥大增加术中出血发生率。地塞米松不影响睡眠通气障碍患者低通气指数。