The study about the role of laryngopharyngeal reflux for the hemorrhage after tonsillectomy
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摘要: 目的：评估和分析成年患者扁桃体切除术后并发症的发生与咽喉反流（LPR）的关系，为临床工作提供指导。方法：随机选取70例需接受扁桃体切除术的成年患者，通过反流症状指数和反流体征量表评分将患者分为反流组和对照组，观察扁桃体切除术后并发症的情况并进行对比和分析。结果：术后所有患者均述疼痛，但反流组的疼痛持续时间显著长于对照组。术后2组患者的体温水平差异无统计学意义。反流组有6例出现继发性出血，而对照组只有1例，组间差异有统计学意义（P<0.05）。无一例出现局部感染或肺部并发症，所有患者均顺利出院。结论：LPR与扁桃体切除术后并发症密切相关，尤其是扁桃体术后出血。Abstract: Objective: To assess the role of LPR in the development of complications, such as hemorrhage, following tonsillectomy in adult patients. We want to provide a guidence for future clinical practice.Method: Totally 70 adult patients who had indication of tonsillectomy were recruited and divided into two groups, the laryngopharyngeal reflux (LPR) group and the control group, which were identified by the results of Reflux Symptom Index (RSI) and Reflux Finding Score (RFS). We observed and compared the postoperative complications of the two groups and analyzed the role of LPR.Result: All the patients complained pain after surgery. The duration of the pain in LPR group was much longer than that of control group. The mean body temperature in both groups was not significantly different (P>0.05). There were six cases of bleeding in the LPR group, while only one case of bleeding occurred in the control group. The difference was statistically significant (P<0.05). There were no cases of infection or pulmonary complications in both groups. All patients were discharged successfully.Conclusion: LPR is closely related to the complications following tonsillectomy.
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Key words:
- laryngopharyngeal reflux /
- tonsillectomy /
- complication
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