两种治疗方式对腺样体肥大患儿生长发育及生活质量的差异性研究

Differences in Growth and Development and Quality of Life of Children with Adenoid Hypertrophy between Two Treatment Modalities

摘要: 目的：探讨手术治疗与保守治疗对中、重度腺样体肥大患儿远期(1年)生长发育和生活质量影响的差异性，为治疗与护理提供客观的临床依据。方法：选取2020年4月~2020年7月在青岛市某三级专科医院就诊且明确诊断为腺样体肥大患儿为研究对象，患儿腺样体肥大程度均在66.5%~90%，属于中、重度肥大。其治疗方式分为手术组30例，非手术组30例；将两组患儿术前与术后1年的身高、体质量及术后1年生活质量进行组内和组间对照分析。结果：手术组患儿1年后的身高与体质量均数高于非手术组；术后1年，手术组与非手术组比较患儿睡眠障碍问题、身体不适症状及照顾者关心问题差异均有统计学意义(P < 0.05)｡结论：对于腺样体肥大程度在66.5%~90%的患儿，手术治疗与保守治疗对患儿远期的生长发育和生活质量的影响存在差异，本研究结果显示，手术治疗优于保守治疗｡

Abstract: Objective: To explore the differences between surgical and conservative treatment on the long- term (1 year) growth and development and quality of life of children with moderate and se-vere adenoid hypertrophy (AH), and to provide an objective clinical basis for treatment and care. Method: Children with a definite diagnosis of adenoid hypertrophy who attended a tertiary care hospital in Qingdao from April 2020 to July 2020 were selected for the study, and the degree of ad-enoid hypertrophy was 66.5%~90% in all children with moderate and severe hypertrophy. The children were divided into 30 cases in the surgical group and 30 cases in the non-surgical group ac-cording to their treatment modalities; The height, body mass and quality of life of the children in the two groups before and 1 year after surgery were analyzed by intra-group and inter-group con-trol. Results: The height and body mass of children in the surgical group were higher than those in the non-surgical group 1 year later; the differences in sleep disorders, physical discomfort and caregiver concerns between the surgical and non-surgical groups were statistically significant 1 year after surgery (P < 0.05). Conclusion: For children with adenoid hypertrophy ranging from 66.5% to 90%, there is a difference between surgical and conservative treatment on children’s long-term growth and development and quality of life, and the results of this study show that surgical treat-ment is superior to conservative treatment.