摘要
目的探索儿童经等离子切除扁桃体和腺样体术后发热的相关因素,为围手术期的诊疗提供合理依据和参考。方法回顾性分析2021年1~12月杭州市儿童医院收治的417例因诊断为阻塞性睡眠呼吸障碍而行扁桃体伴腺样体切除术患儿的相关资料,分析术后发热与患儿性别、年龄、扁桃体分度、腺样体分度、扁桃体发炎次数、鼻窦炎情况、病程、手术季节、手术时段、手术时长、术中出血量及细菌培养结果之间的关系。结果①417例患儿中91例(21.82%)出现术后发热,统计学结果显示,患儿不同年龄、性别及手术时段术后发热率差异具有统计学意义(P均<0.05)。发热患儿年龄与未发热患儿年龄相比较小;女性患儿比男性患儿发热率相对较高;手术时间在10:00之前发热率较高,12:00~14:00次之。患儿不同扁桃体分度、腺样体分度、扁桃体发炎次数、鼻窦炎情况、病程、手术季节、手术时长、术中出血量及细菌培养结果的术后发热率无统计学差异(P均>0.05)。②随着扁桃体和腺样体体积增大,患儿发热率随之上升;围手术期伴有鼻窦炎症状的患儿发热的可能性较大。结论本研究中接受扁桃体伴腺样体切除术后发热患儿年龄与未发热患儿年龄相比较小;女性患儿比男性患儿发热率相对较高;手术时间在10:00之前发热率较高,12:00~14:00次之。
Objective To explore the related factors of fever after tonsillectomy in children,and provide reasonable basis and reference for perioperative treatment.Methods The data of 417 children who underwent tonsillectomy with adenoids due to tonsil hypertrophy's obstructive sleep apnea caused by adenoid hypertrophy in Hangzhou Children's Hospital from January to December,2021 were analyzed retrospectively.The relationship between postoperative fever and children's gender,age,tonsil size,adenoid size,tonsillitis times,sinusitis,course of disease,operation season,operation period,operation duration,intraoperative blood loss and bacterial culture results was analyzed.Results①Among the 417 children,91(21.82%)developed postoperative fever.The statistical results showed that there were significant differences in postoperative fever rates among children of different ages,sexes and operation periods(P<0.05).The age of children with fever is younger than that of children without fever.The fever rate of female children is higher than that of male children.The fever rate was higher before 10:00,and it was from 12:00 to 14:00.There was no significant difference in postoperative fever rate among children with different tonsil size,adenoid size,tonsil inflammation times,sinusitis,course of disease,operation season,operation duration,intraoperative blood loss and bacterial culture results(P>0.05).②With the volume of tonsils and adenoids increasing,the fever rate of children increased.Children with symptoms of sinusitis during perioperative period are more likely to have fever.Conclusion The age of children with fever after tonsillectomy with adenoidectomy in this study is younger than that of children without fever.The fever rate of female children is higher than that of male children.The fever rate was higher in children who underwent surgery before 10:00,followed by 12:00-14:00.
作者
王雪梅
沙敏
曾惠群
楼高忠
WANG Xuemei;SHA Min;ZENG Huiqun;LOU Gaozhong(Department of Otorhinolaryngology,Hangzhou Children’s hospital,Hangzhou,Zhejiang,310016,China)
出处
《中国中西医结合耳鼻咽喉科杂志》
2024年第5期350-353,388,共5页
Chinese Journal of Otorhinolaryngology in Integrative Medicine
