【摘要】目的：探讨儿童鼾症患儿的治疗方法和疗效观察。方法： 对86例儿童鼾症患儿单纯行扁桃体摘除14例，单纯行腺样体刮除23例，行扁桃体摘除和腺样体刮除49例，术后应用抗生素及止血药物治疗5~7天。结果：术后2~3天78例(90.69%)患儿打鼾、憋气、张口呼吸症状消失，能安然睡眠；8例患儿鼾声明显减小，呼吸均匀，无憋气及张口呼吸。3个月后随访所有患儿均无打鼾、憋气及张口呼吸，能安然睡眠，伴随症状消失。结论：扁桃体摘除和(或)腺样体刮除可有效地解除儿童口咽腔及鼻咽腔的狭窄或阻塞，改善儿童上气道通气状况，使其在睡眠时呼吸气流通畅，从而达到治疗儿童鼾症的目的。

     【关键词 】 扁桃体切除术；腺样体切除术；睡眠呼吸暂停，阻塞性；儿童

    Adenoidectomy and (or) tonsillectomy treated snoring disease in children

    LIAN Rong, LU Zhen-min, ZHANG Ai-min, et al

    (Department of Otorhinolaryngology of the first affiliated hospital of Xinxiang Medical College, Henan 453100, China)

    【Abstract】Objective：To discuss methods of treatment and curative effect of snoring disease in children. Methods:86 patients diagnosed snoring disease received surgery, simply tonsillectomy in 14,only adenoidectomy in 23, adenoidectomy and tonsillectomy in 49.The medicine of antibiotic and hemostatic had been applied for 5~7days after operation.Results: 2~3days after operation , in 78 cases, the symptoms like snoring in sleep, breathing opening mouth, apnea disappeared ; In 8 cases, the snoring decreased, breathed equably without apnea and breathing opening mouth. Followed up three months, all children were sleep quietly without snoring, apnea, and breathing opening mouth.Conclusions: Adenoidectomy and (or) tonsillectomy could effectively relieve the narrow or obstruction of nasopharynx and oropharynx in children, improved the condition of upper airway and treated the snoring disease in children. ......