Pan H G, Yang H, Chen G W, Li L, Wu Z B, Wang J M
Department of Otorhinolaryngology, Shenzhen Children's Hospital, Shenzhen 518026, China.
Department of School Clinic, Shenzhen Nanshan Primary School, Shenzhen 518052, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Jun 7;52(6):453-457. doi: 10.3760/cma.j.issn.1673-0860.2017.06.011.
To assess the olfactory function in children with adenoid hypertrophy and investigate the changes of both olfactory function and appetite in children with adenoid hypertrophy before and after adenoidectomy. Forty-four children with adenoid hypertrophy admitted for adenoidectomy, aged 7-12 years, mean age (10.0±2.0) years were tested by Sniffin' Sticks test and visual analog scale(VAS) of the children's appetite preoperatively between March and August 2015.In a appointment 6 months after operation, all of them returned and were tested again. The control group consisted of 40 healthy children, aged 7-12 years, mean age (11.2±0.8) years.SPSS 13.0 software was used for statistical analysis The olfactory function of the study group TDI scores (32.4±3.5) preoperatively were significantly lower in comparison with the results of the control group TDI scores (37.3±2.8)(=7.057, <0.001). Significant improvement of olfaction TDI scores (36.8±1.9) was observed in the follow-up appointment(=13.573, <0.001). The VAS of the children's appetite during post-adenoidectomy was higher compared to pre-adenoidectomy(=16.765, <0.001). There was a strong correlation between the increase in appetite of children and the change of TDI score (=0.59, <0.01). Children with adenoid hypertrophy have a reduced ability of both olfactory function and appetite. Surgery had a greater impact on olfaction and appetite.
评估腺样体肥大患儿的嗅觉功能，并调查腺样体肥大患儿在腺样体切除术前、后的嗅觉功能及食欲变化。选取2015年3月至8月间收治的44例拟行腺样体切除术的腺样体肥大患儿，年龄7 - 12岁，平均年龄（10.0±2.0）岁，术前采用嗅觉棒测试及儿童食欲视觉模拟量表（VAS）进行测试。术后6个月复诊时，所有患儿均再次接受测试。对照组为40例健康儿童，年龄7 - 12岁，平均年龄（11.2±0.8）岁。采用SPSS 13.0软件进行统计分析。研究组术前嗅觉功能TDI评分（32.4±3.5）显著低于对照组TDI评分（37.3±2.8）（t = 7.057，P < 0.001）。随访时嗅觉TDI评分显著改善（36.8±1.9）（t = 13.573，P < 0.001）。腺样体切除术后儿童食欲的VAS评分高于术前（t = 16.765，P < 0.001）。儿童食欲增加与TDI评分变化之间存在强相关性（r = 0.59，P < 0.01）。腺样体肥大患儿的嗅觉功能和食欲均下降。手术对嗅觉和食欲有较大影响。
