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[儿童腺样体和扁桃体肥大与哮喘的关系及腺样体扁桃体切除术后哮喘变化分析]

[The relationship between adenoid and tonsil hypertrophy and asthma in children and analysis of changes in asthma after adenotonsillectomy].

作者信息

Mi Xiaolin, Cao Zhiwei, Wang Meng, Zhao He

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Aug;35(8):760-764. doi: 10.13201/j.issn.2096-7993.2021.08.019.

DOI:10.13201/j.issn.2096-7993.2021.08.019
PMID:34304542
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10127811/
Abstract

Adenoid and tonsil hypertrophy in children are closely related to asthma. Their pathogenesis and clinical symptoms are interacted on each other. The unified airway theory believes that the upper and lower respiratory tracts are connected through the release of systemic inflammatory factors. Studies have shown that adenoid and tonsillectomy surgery have a positive effect on the control and development of asthma. The symptoms of postoperative asthma, frequency of attacks, control medication and asthma severity related indicators in children were significantly reduced compared with those before surgery. It has been shown that asthma can increase the incidence of respiratory complications after adenoidectomy and tonsillectomy, so postoperative care after adenotonsillectomy is also important to control asthma. Understanding the relationship between diseases can help clinicians make a more comprehensive diagnosis and treatment.

摘要

儿童腺样体和扁桃体肥大与哮喘密切相关。它们的发病机制和临床症状相互影响。统一气道理论认为,上、下呼吸道通过全身炎症因子的释放相互连接。研究表明,腺样体和扁桃体切除术对哮喘的控制和发展有积极作用。与手术前相比,儿童术后哮喘症状、发作频率、控制用药及哮喘严重程度相关指标均显著降低。研究表明,哮喘会增加腺样体切除术和扁桃体切除术后呼吸道并发症的发生率,因此腺样体扁桃体切除术后的护理对控制哮喘也很重要。了解疾病之间的关系有助于临床医生做出更全面的诊断和治疗。

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[The relationship between adenoid and tonsil hypertrophy and asthma in children and analysis of changes in asthma after adenotonsillectomy].[儿童腺样体和扁桃体肥大与哮喘的关系及腺样体扁桃体切除术后哮喘变化分析]
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Adenoid and tonsil surgeries in children: how relevant is pre-operative blood grouping and cross-matching?儿童腺样体和扁桃体手术:术前血型鉴定和交叉配血的相关性如何?
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Tailoring therapy to improve the treatment of children with obstructive sleep apnea according to grade of adenotonsillar hypertrophy.根据腺样体扁桃体肥大程度调整治疗方法以改善阻塞性睡眠呼吸暂停儿童的治疗效果。
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Front Med (Lausanne). 2024 Jun 10;11:1369695. doi: 10.3389/fmed.2024.1369695. eCollection 2024.
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Influence of Adenoid Hypertrophy on Malocclusion and Maxillofacial Development in Children.腺样体肥大对儿童错牙合畸形及颌面发育的影响。
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本文引用的文献

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Management of adult asthma and chronic rhinitis as one airway disease.成人哮喘和慢性鼻炎的管理:作为一种气道疾病。
Expert Rev Respir Med. 2021 Sep;15(9):1135-1147. doi: 10.1080/17476348.2021.1932470. Epub 2021 May 31.
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Inflammation in children with neuromuscular disorders and sleep disordered breathing.患有神经肌肉疾病和睡眠呼吸障碍的儿童的炎症
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Pediatric Versus Adult Chronic Rhinosinusitis.儿童与成人慢性鼻-鼻窦炎。
Curr Allergy Asthma Rep. 2020 Jun 6;20(8):29. doi: 10.1007/s11882-020-00924-6.
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Inflammatory Factors: Nonobese Pediatric Obstructive Sleep Apnea and Adenotonsillectomy.炎症因子:非肥胖儿童阻塞性睡眠呼吸暂停与腺样体扁桃体切除术
J Clin Med. 2020 Apr 5;9(4):1028. doi: 10.3390/jcm9041028.
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Assessing the unified airway hypothesis in children via transcriptional profiling of the airway epithelium.通过气道上皮细胞的转录谱评估儿童气道统一假说。
J Allergy Clin Immunol. 2020 Jun;145(6):1562-1573. doi: 10.1016/j.jaci.2020.02.018. Epub 2020 Feb 28.
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Obstructive Lung Disease and Obstructive Sleep Apnea (OLDOSA) cohort study: 10-year assessment.阻塞性肺病与阻塞性睡眠呼吸暂停(OLDOSA)队列研究:10年评估
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