儿童扁桃体与腺样体切除术后发热因素分析

Analysis of influencing factors of fever after tonsillectomy and adenoidectomy in children

摘要:

目的 探讨儿童扁桃体和/或腺样体切除术后发热的相关因素，为手术治疗和护理提供参考。方法 收集408例因扁桃体和/或腺样体肥大引起阻塞性睡眠呼吸障碍（OSDB）行扁桃体和/或腺样体切除术患儿的相关资料，分析发热与术中出血量、性别、扁桃体腺样体大小、扁桃体炎史、鼻窦炎现状、手术时段、手术季节和手术部位的关系。结果 408例行扁桃体和/或腺样体切除的患者儿中19例出现术后发热，体温均在38℃以上。统计结果显示，不同季节术后患者发热率的差异具有统计学意义（P<0.05），春季的发热率最高；不同术中出血量、性别、扁桃体腺样体大小、扁桃体炎史、鼻窦炎现状、手术时段及手术部位患者发热率的差异均无统计学意义（P均>0.05）。同时发现发热率随着扁桃体和腺样体的体积增大发热人数也有相应的增加。结论 春季行扁桃体和/或腺样体切除术，术后发热率较其他季节高；发热率随着扁桃体和腺样体的体积增大也相应升高。

Abstract:

Objective To explore the factors associated with fever after tonsillectomy and/or adenoidectomy in children, and to provide reference for surgical treatment and nursing. Methods Collecting information on 408 cases of children with obstructive sleep disorder breathing(OSDB) who required tonsillectomy and/or adenoidectomy due to tonsil and/or adenoid hypertrophy. It was analyzed for the relationship between fever and intraoperative bleeding, sex, tonsil size, adenoid size, history of tonsillitis, current situation of sinusitis, surgical time, surgical season and surgical site. Results There were 19 cases of the 408 children with fever after tonsillectomy and/or adenoidectomy, their body temperature is above 38 degrees Celsius. There was statically difference between in the rate of postoperative fever and in different seasons (P<0.05). There was no significant difference in the fever rate among patients with different intraoperative bleeding, gender, adenoid size of tonsil, history of tonsillitis, current situation of sinusitis, operation time and operation site (P>0.05). At the same time, it was found that the fever rate increased with the volume of tonsils and adenoids. Conclusions Children who undercarried tonsillectomy and/or adenoidectomy had a higher probability of developing fever in the spring than that in other seasons. The fever rate has a tendency to increase with the volume of tonsils and/or adenoids.