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腺样体扁桃体切除术对儿童生活质量的影响。

The impact of adenotonsillectomy on children's quality of life.

作者信息

Schwentner I, Schmutzhard J, Schwentner C, Abraham I, Höfer S, Sprinzl G M

出版信息

Clin Otolaryngol. 2008 Feb;33(1):56-9. doi: 10.1111/j.1749-4486.2007.01578.x.

Abstract

OBJECTIVES

Although adenotonsillectomy is one of the most frequently performed surgical procedures in the pediatric population, there is little known about its impact on Health-related Quality of Life (HRQL). The aim of this study was to measure children's HRQL-benefit after adenotonsillectomy.

DESIGN AND SETTING

The study was carried out as a retrospective postal survey utilising a proxy rating.

PARTICIPANTS

In total, 447 parents of children who underwent adenotonsillectomy for the indication of chronic tonsillitis were included. 43% (n = 191) of the parents returned completed surveys.

MAIN OUTCOME MEASURES

To quantify the benefit after pediatric adenotonsillectomy the Glasgow Children's Benefit Inventory (GCBI) was used.

RESULTS

Mean GCBI-total score was 21 +/- 19 (-8 to 77), showing an improvement in all GCBI subscales.

CONCLUSIONS

Adenotonsillectomy is a highly effective approach to treat children with tonsil disease. It has a positive impact on children's HRQL and other areas not directly associated with their tonsil disease. Moreover, this improvement in HRQL is durable and not temporary.

摘要

目的

尽管腺样体扁桃体切除术是儿科最常进行的外科手术之一,但对于其对健康相关生活质量(HRQL)的影响却知之甚少。本研究的目的是衡量腺样体扁桃体切除术后儿童的HRQL获益情况。

设计与背景

本研究采用代理评级进行回顾性邮寄调查。

参与者

总共纳入了447名因慢性扁桃体炎接受腺样体扁桃体切除术患儿的父母。43%(n = 191)的父母返回了完整的调查问卷。

主要观察指标

使用格拉斯哥儿童获益量表(GCBI)来量化儿科腺样体扁桃体切除术后的获益情况。

结果

GCBI总分均值为21±19(-8至77),表明所有GCBI子量表均有改善。

结论

腺样体扁桃体切除术是治疗儿童扁桃体疾病的一种高效方法。它对儿童的HRQL以及其他与扁桃体疾病无直接关联的领域具有积极影响。此外,这种HRQL的改善是持久的而非暂时的。

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