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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.

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。

相似文献

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Urgent adenotonsillectomy for upper airway obstruction.因上呼吸道梗阻行紧急腺样体扁桃体切除术。
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本文引用的文献

1
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.
3
Chronic Rhinosinusitis with Nasal Polyps and Asthma.慢性鼻-鼻窦炎伴鼻息肉与哮喘。
J Allergy Clin Immunol Pract. 2021 Mar;9(3):1133-1141. doi: 10.1016/j.jaip.2020.09.063. Epub 2020 Oct 13.
7
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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