Jing Yunlong, Hu Binya, Huang Jing, Zhao Sijun, Tao Lihua, Peng Xiangyue
Department of Otorhinolaryngology, Hunan Children' s Hospital, Changsha, 410007, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012 Jun;26(12):547-9.
To investigate the behavior difference of allergic rhinitis with adenoid hypertrophy between study group and control group.
One hundred and seventeen children diagnosed as allergic rhinitis with adenoid hypertrophy were enrolled in our study were divided into study group and control group. Forty-two children treated with local steroid nasal spray for two to three months and antihistamine were control group. Seventy-five children treated with endoscopic adenoidectomy and drug treatment were study group; All children' parents were inquired for their clinical presentation.
No distinctive differences were found between the two groups (P > 0.05) in adenoid hypertrophy, accompanying nasal problems and clinical questionnaire scoring. Significant statistical distinction were found (P < 0.05) in snoring, sleep disturbance and frequent arousal, nasal obstructive moth-breathing, and recurrent respiratory tract infection between the two groups after three-month follow up.
Endoscopic adenoidectomy should be taken into account for allergic rhinitis with adenoid hypertrophy in children. Adenoidectomy would be useful for the improvement of behavior symptoms.
探讨腺样体肥大伴过敏性鼻炎患儿研究组与对照组之间的行为差异。
117例诊断为腺样体肥大伴过敏性鼻炎的儿童纳入本研究，分为研究组和对照组。42例接受局部类固醇鼻喷雾剂治疗两至三个月及抗组胺药治疗的儿童为对照组。75例接受内镜下腺样体切除术及药物治疗的儿童为研究组；询问所有儿童家长其临床表现。
两组在腺样体肥大、伴发鼻部问题及临床问卷评分方面无显著差异（P>0.05）。三个月随访后，两组在打鼾、睡眠障碍及频繁觉醒、鼻阻塞性口呼吸和反复呼吸道感染方面存在显著统计学差异（P<0.05）。
对于儿童腺样体肥大伴过敏性鼻炎应考虑行内镜下腺样体切除术。腺样体切除术有助于改善行为症状。
