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目的:探讨分析中西医结合治疗静吸复合麻醉下患儿行腺样体及扁桃体切除后插管疼痛的临床效果并作出评价。方法:依据纳入排除标准,选取2012年1月—2014年12月医院儿科108例腺样体及扁桃体切除的患儿,并随机分两组;对照组采取常规手术治疗措施,研究组常规措施+中药疗法;将两组患儿的临床治疗效果、不良反应发生率进行比较分析。结果:研究组患儿术后均无复发,疗效较佳,腺样体及扁桃体切除术后出血,伤口感染、疼痛情况的发生率与对照组比较有明显降低,总不良反应发生率分别为7.4%、37.2%(P<0.05),有统计学意义。两组治疗前中医症候评分比较(P>0.05)差异无统计学意义,两组治疗后较治疗前评分均降低,研究组效果显著优于对照组,差异有统计学意义(P<0.05)。研究组治疗总有效率98.1%显著高于对照组81.5%(P<0.05),有统计学意义。结论:中西医结合治疗静吸复合麻醉下患儿行腺样体及扁桃体切除后插管疼痛的临床效果较佳,能显著提高治疗有效率,降低不良反应发生率,值得临床推广使用。
Objective: To investigate and evaluate the clinical effects of traditional Chinese and western medicine in treating children with intubation after adenoid and tonsillectomy under static inhalation combined anesthesia. Methods: According to inclusion criteria, 108 cases of adenoid and tonsillectomy from January 2012 to December 2014 in our hospital were selected and randomly divided into two groups. In the control group, routine surgical treatment, routine measures + Chinese medicine therapy; the clinical treatment of children in two groups, the incidence of adverse reactions were compared. Results: There was no recurrence in the study group after operation, and the curative effect was better. The incidence of hemorrhage, wound infection and pain after adenoid and tonsilctomy was significantly lower than that in the control group, with the total incidence of adverse reactions being 7.4 %, 37.2% (P <0.05), with statistical significance. There was no significant difference between the two groups in TCM symptom scores before treatment (P> 0.05). The scores of both groups after treatment were lower than those before treatment. The effect of the study group was significantly better than that of the control group (P <0.05). The total effective rate of study group 98.1% was significantly higher than the control group 81.5% (P <0.05), with statistical significance. Conclusion: The clinical effect of combined traditional Chinese and western medicine in treatment of intubation pain after adenoidectomy and tonsillectomy is better in children undergoing combined inhalation and inhalation anesthesia, which can significantly improve the treatment efficiency and reduce the incidence of adverse reactions, which is worthy of clinical promotion and use.