Evaluation of the intraoperative trauma degree and postoperative speech function of low-temperature plasma radiofrequency surgery treatment of children with OSAHS

摘要

Objective:To evaluate the intraoperative trauma degree and postoperative speech function of low-temperature plasma radiofrequency surgery treatment of children with obstructive sleep apnea hypopnea syndrome (OSAHS).Methods: A total of 118 children with OSAHS were divided into the control group (n=59) who received general surgery and the observation group (n=59) who received the low-temperature plasma radiofrequency surgery according to the random number table. Before operation and 24 h after operation, serum levels of stress hormones, acute phase proteins and inflammatory markers of two groups of children were determined, and the speech function parameter levels were assessed.Results:Before operation, differences in serum contents of stress hormones, acute phase proteins and inflammatory factors as well as speech function parameter levels were not statistically significant between two groups of patients. 24 h after operation, serum stress hormones adrenocorticotropic hormone (ACTH), angiotensin-2 (Ang-2), norepinephrine (NE), cortisol (Cor) contents of observation group were lower than those of control group, serum acute phase proteins haptoglobin (HP), ceruloplasmin (CER), and prealbumin (PA) contents were lower than those of control group, and serum inflammatory factors interleukin-1 (IL-1), interleukin-4 (IL-4), interleukin-27 (IL-27), tumor necrosis factorα(TNF-α) contents were lower than those of control group;speech function parameters NNE and NHR levels of observation group were higher than those of control group.Conclusion:Compared with routine surgery, low-temperature plasma radiofrequency surgery treatment of children with OSAHS causes less surgical trauma and more greatly improves the postoperative speech level.