祝林;魏春艳;
ZHU Lin;WEI Chunyan;Department of Otorhinolaryngology Head and Neck Surgery,West China Guang'an Hospital of Sichuan University;Department of Pediatrics,West China Guang'an Hospital of Sichuan University;

• 1:四川大学华西广安医院耳鼻喉头颈外科
• 2:四川大学华西广安医院儿科

摘要(Abstract)：

目的分析扁桃体切除术患儿血清超敏C-反应蛋白(hs-CRP)、降钙素原(PCT)及白细胞介素-6(IL-6)水平与黏膜淤血水肿的相关性。方法以117例行扁桃体切除术的阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患儿根据呼吸暂停低通气指数(AHI)分为轻度、中度及重度组,比较3组患儿手术前及术后1个月时的血清hs-CRP、PCT、IL-6水平及扁桃体窝后黏膜淤血水肿情况,采用Pearson相关分析OSAHS患儿术后血清hsCRP、PCT、IL-6水平变化与黏膜淤血水肿的相关性。结果 OSAHS患儿术前的血清hs-CRP、PCT、IL-6水平随着病情严重程度加重而升高,差异有统计学意义(P<0.05);3组OSAHS患儿术后1个月时的血清hs-CRP、PCT、IL-6水平及黏膜淤血水肿评分均低于同组手术前,差异有统计学意义(P<0.05);Pearson相关分析显示,OSAHS患儿术后血清hs-CRP、PCT、IL-6水平与黏膜淤血水肿评分均呈显著正相关(P<0.05)。结论血清hsCRP、PCT及IL-6水平随着OSAHS患儿病情加重而升高,扁桃体切除术后3项指标水平与扁桃体窝黏膜淤血水肿密切相关。
Objective To investigate the correlation between levels of serum high sensitivity Creactive protein(hs-CRP),procalcitonin(PCT),interleukin-6(IL-6),and mucosal congestion edema in child patients with obstructive sleep apnea hypopnea syndrome(OSAHS) after tonsillectomy.Methods One hundred and seventeen child patients received OSAHS who underwent tonsillectomy were divided into mild group,moderate group,and severe group according to the apnea-hypopnea index(AHI).The levels of serum hs-CRP,PCT,and IL-6 and mucosal congestion edema behind tonsillar fossa were compared before surgery and 1 month after surgery.Pearson correlation analysis was adopted to analyze the correlation between levels of serum hs-CRP,PCT,IL-6,and mucosal congestion edema in child patients with OSAHS after surgery.Results The levels of serum hs-CRP,PCT,and IL-6 in child patients with OSAHS before surgery increased with the severity of disease,differences were statistically significant(P <0.05).The levels of serum hs-CRP,PCT,IL-6,and mucosal congestion edema score of child patients with OSAHS at 1 month after surgery were lower than those before surgery,differences were statistically significant(P <0.05).Pearson correlation analysis showed that levels of serum hs-CRP,PCT,and IL-6 of child patients with OSAHS after surgery were significantly positively correlated with mucosal congestion edema score(P <0.05).Conclusion Serum hs-CRP,PCT,and IL-6 levels increase with the aggravated condition of child patients with OSAHS,and the levels of the three indexes after tonsillectomy are closely correlated to mucosal congestion edema of tonsillar fossa.

关键词(KeyWords)： 扁桃体切除术;阻塞性睡眠呼吸暂停低通气综合征;超敏C-反应蛋白;降钙素原;白细胞介素-6;相关性
tonsillectomy;obstructive sleep apnea hypopnea syndrome(OSAHS);high sensitivity C-reactive protein(hs-CRP);procalcitonin(PCT);interleukin-6(IL-6);correlation

Abstract:

Keywords:

基金项目(Foundation): 四川省卫生和计划生育委员会科研项目（17PJ090）

作者(Authors): 祝林;魏春艳;
ZHU Lin;WEI Chunyan;Department of Otorhinolaryngology Head and Neck Surgery,West China Guang'an Hospital of Sichuan University;Department of Pediatrics,West China Guang'an Hospital of Sichuan University;

DOI: 10.19367/j.cnki.2096-8388.2021.11.017

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