Abstract:Objective To evaluate the effects of betahistine mesylate combined with vestibular rehabilitation training on vertigo,VAS score,and balance function in patients with otolith.Method Randomly divide into two groups,with a control group of 30 patients with otolith treated with betamethasone.The observation group received medication treatment combined with vestibular rehabilitation training,and the effects of different intervention methods were compared.Results Following treatment,the observation group showed a significantly better therapeutic outcome compared to the control group,with a statistically significant difference(96.67%vs 80.00%,χ2=3.543,P<0.05).The level of dizziness in the observation group was significantly lower than that in the control group(P<0.05).Additionally,the VAS score in the observation group was notably lower than in the control group(P<0.05).Patients in the observation group exhibited superior balance function compared to those in the control group(P<0.05).Conclusion Betahistine mesylate combined with vestibular rehabilitation training can improve treatment effectiveness,improve vestibular symptoms,reduce the degree of dizziness,promote the improvement of balance function in patients,and have an ideal prognosis.It is worth promoting.

Abstract:Objective To investigate the effect of prospective intervention during preoperative visits on emergence agitation and postoperative recovery in patients undergoing chronic sinusitis surgery under general anesthesia.Methods Patients with chronic sinusitis who underwent surgery in Jinan Third People's Hospital were selected to participate in the study,with a sample size of 60 cases from January 2022 to 20 July 2024.After random grouping,the control group(n=30)received routine preoperative visits,while the observation group(n=30)received preoperative visits and prospective interventions,and the effects of the two groups on emergence agitation and postoperative recovery were compared.Results During the postoperative T2 to T5 stages,the heart rate and blood pressure of the observation group were better than those of the control group(P<0.05).Compared with the control group,the observation group had a lower overall incidence of emergence agitation(46.67%vs 66.67%,P<0.05)during the recovery period,and had lower scores in all dimensions of the SNOT-20(Nasal and Sinus Outcome Test-20)(P<0.05).Conclusion It is important to strengthen prospective interventions and provide necessary psychological and cognitive guidance during anesthesia preoperative visits for patients undergoing chronic sinusitis surgery.This can alleviate patient anxiety and reduce the incidence of restlessness during the recovery period.In practice,research and application can be strengthened.

Abstract:Objective To evaluate the clinical efficacy of press needle therapy combined with thunder-fire moxibustion in the treatment of patients with deafness due to blood stasis obstructing the ear and its effect on hearing threshold levels.Methods A total of 100 patients with deafness due to blood stasis obstructing the ear,who were admitted to the Otolaryngology Department of Dongtai Hospital of Traditional Chinese Medicine from March 2023 to March 2024,were selected for a randomized controlled study.The patients were divided into a control group of 50 cases and an observation group of 50 cases by clinical random number table method.All patients were treated with conventional Western medicine(dexamethasone injection+ginkgolide injection+betahistine hydrochloride injection+lidocaine injection+aceglutamide).The control group additionally received thunder-fire moxibustion,while the observation group additionally received press needle therapy combined with thunder-fire moxibustion.After two weeks of treatment,clinical efficacy and Traditional Chinese Medicine(TCM)syndrome scores were evaluated,hearing improvement was assessed using pure-tone hearing threshold tests And the occurrence of adverse events was assessed.Results The total clinical effective rate in the observation group was 90.00%,significantly higher than that in the control group(74.00%)(P<0.05).Before treatment,there were no significant differences in TCM syndrome scores or pure-tone hearing threshold levels between the two groups(P>0.05).After two weeks of treatment,both groups showed improvement in TCM syndrome scores and hearing threshold levels compared with pre-treatment levels.Furthermore,the observation group demonstrated significantly lower TCM syndrome scores and hearing threshold levels than the control group(P<0.05).There was no significant difference in the total incidence of adverse events between the two groups(P>0.05).Conclusion For the clinical treatment of deafness due to blood stasis obstructing the ear,the combined therapy of press needle acupunture and thunder-fire moxibustion can effectively improve clinical outcomes,ameliorate TCM syndrome manifestations,promote hearing recovery,and demonstrate a high level of safety.Therefore,its clinical adoption is recommended.

Abstract:Objective To analyze the efficacy of the continuous irrigation system in otoscopy surgery for mastoid cholesteatoma.Methods Using a random number table method,60 eligible patients were numbered according to the order of consultation and randomly assigned in a 1:1 ratio to either the continuous irrigation otoscopy group(n=30)or the non-irrigation microscopy group(n=30).The operation time,dry ear time,postoperative pain score(Visual Analogue Scale,VAS),hearing improvement,and complication rates were compared between the two groups.Results The operation time in the continuous irrigation otoscopy group was(119.13±40.05)min,and(128.13±36.39)min in the non-irrigation microscopy group,showing no statistically significant difference(t=0.71,P>0.05).The dry ear time in the continuous irrigation otoscopy group was significantly shorter than that in the non-irrigation microscopy group[(7.96±2.53)weeks vs.(9.20±2.16)weeks,t=2.04,P<0.05],and the postoperative pain score was also significantly lower[(2.60±1.10)vs(3.47±1.07),t=3.09,P<0.01].There were no statistically significant differences between the two groups in hearing improvement(air conduction threshold,air-bone gap)or complication rate(20.00%in the otoscopy group vs.16.67%in the microscopy group,χ2=0.22,P>0.05).Conclusion Continuous irrigation during otoscopic surgery for mastoid cholesteatoma is less invasive,less painful,faster recovery,more effective and safer.

Abstract:Objective To evaluate the predictive value of serum thyroglobulin(Tg)levels in identifying disease recurrence or metastasis in patients with differentiated thyroid cancer(DTC)after radical surgery.Methods 358 patients who underwent DTC radical surgery were divided into the recurrence group and the non-recurrence group based on whether there was recurrence within one year after surgery.The clinical data were compared between the two groups.Logistic regression analysis was used to identify the relevant factors associated with the recurrence or metastasis in DTC radical surgery patients.Receiver operating characteristic(ROC)curves were plotted to analyze the predictive value of serum Tg,TgAb and their combination for recurrence or metastasis in DTC radical surgery patients.Results Compared with the non-recurrence group,patients in the recurrence group had higher proportion of TNM stages Ⅲ-Ⅳ,capsular invasion and higher levels of Tg,TSH and TgAb(all P<0.05).Logistic regression analysis revealed that TNM stages Ⅲ-Ⅳ,high levels of Tg and TgAb were risk factors for recurrence or metastasis in patients undergoing DTC radical surgery(P<0.05).ROC curve analysis showed that the areas under the curve(AUC)for serum Tg,TgAb and their combination in predicting recurrence or metastasis were 0.877,0.805 and 0.913,respectively.The corresponding sensitivities were 67.25％,60.25％and 75.00％,and the specificities were 90.50％,80.00％and 90.50％.Conclusions Serum Tg and TgAb are independent risk factors for recurrence or metastasis in patients undergoing DTC radical surgery.Moreover,the combination of Tg and TgAb significantly improves the predictive performance.

Abstract:Clinical teaching in otorhinolaryngology-head and neck surgery has high requirements for students'theoretical knowledge,practical ability and clinical thinking.However,the traditional teaching model has such problems as fragmented content,insufficient practical opportunities,and neglect of students'reflection and individual needs.This study took Kolb's experiential learning model as the theoretical framework and cochlear implantation as the teaching case to optimize the design for the teaching difficulties in otorhinolaryngology-head and neck surgery.It effectively made up for the shortcomings of traditional teaching and improved students'clinical thinking,practical skills and adaptability.The study also pointed out the limitations of the model in terms of situational adaptability,implementation cost and evaluation tools.It puts forward future development directions,such as integrating multiple teaching theories,promoting informatization transformation,and improving the evaluation system,so as to provide reference for the teaching reform in otorhinolaryngology-head and neck surgery.

Abstract:Objective To observe the treatment effect on allergic rhinitis(AR)in patients with concomitant anxiety and depression,to analyze the influence of emotional disorders on the outcome of AR,and to explore the causal relationship between AR and anxiety and depression.Methods A retrospective analysis was conducted on a total of 179 cases that met the diagnostic criteria for AR with completed medical records in the Otolaryngology Department of Changping District Integrated Traditional Chinese and Western Medicine Hospital from January 2019 to June 2024.There were 97 cases in the comorbidity group with anxiety and depression,and 82 cases in the rhinitis group.General information,such as age and gender,was collected.AR symptom scores in TNSS,VAS,Lund-Kennedy endoscopy and TMS,as well as SAS,SDS and RQLQ scores were tabled.The baseline values of general information were compared.Scores before and after AR treatment,including objective and subjective scores for nasal symptoms and for quality of life,were compared among patients and between groups.And the sub-items of TNSS,VAS,and RQLQ were also compared.Treatment efficiency was calculated by the way of:(pre-treatment score-post-treatment score)/pre-treatment score.Using GWAS summary data as the outcome factor of AR,the two-sample Mendelian randomization(MR)method was used to evaluate the causal effect relationship of anxiety and depression with AR.Results After AR treatment,the scores of TNSS,VAS,RQLQ,and LK decreased,and were statistically different(all P<0.05),indicating that the treatment was effective for all enrolled cases.Before treatment,there were statistical differences in the scores of AR subjective symptoms in terms of sneezing,nasal congestion,sleep,and emotion,and the scores of cases in the comorbidity group were higher than those in the rhinitis group(all P<0.05).After treatment,there were statistical differences in the scores of AR subjective symptoms in all aspects,and the scores of cases in the comorbidity group were higher than those in the rhinitis group(all P<0.05).Before and after treatment,there were no statistical differences in the objective scores of AR signs between groups(all P≥0.05).There were statistical differences in the treatment improvement rates in all aspects of subjective symptoms,and the treatment improvement rate of cases in the comorbidity group was lower than that in the rhinitis group(all P<0.05),but there was no statistical difference in the objective sign scores between the two groups(all P≥0.05).There was a contradiction between the improvement rates of AR treatment in terms of objective sign and subjective symptom evaluations in the two groups.In two-sample MR analysis,the IVW results suggested that depression did not increase or decrease the risk of AR,and there was no clear causal relationship between depression and AR.The results of MR Egger,weighted median,and weighted mode were consistent with the IVW results in direction,and the results were stable.The simple mode results suggested that anxiety did not increase or decrease the risk of AR(P=0.063).Conclusion In the case of receiving the same treatment and obtaining the same objective sign improvement,the subjective experience of the treatment effect on nasal symptoms in patients with comorbid anxiety and depression and AR is worse than that in rhinitis patients without concurrent anxiety and depression emotional disorders.There is no significant correlation of anxiety and depression with the occurrence of AR.Anxiety and depression emotional disorders or mental illnesses do not increase the risk of suffering from AR.

Abstract:Objective To explore the effect of montelukast Sodium+nasal hormones therapy on children with allergic rhinitis,and to provide reference for disease treatment.Methods A total of 80 pediatric patients with allergic rhinitis who were diagnosed and treated in the Otorhinolaryngology Department of our hospital from 2023 to 2024 were selected as study subjects.They were divided into a test group(40 cases)and a reference group(40 cases)according to the order of admission.The reference group was only treated with nasal steroids(mometasone furoate nasal spray),while the test group was also treated with montelukast sodium besides nasal steroids.The treatment effects,clinical symptom scores,changes in relevant indicators,adverse reactions,and recurrence rates were analyzed between the groups.Results The total effective rate of treatment in the test group(95%)was higher than that in the reference group(80%),with a significant difference(χ2=4.114,P<0.05).The clinical symptom scores in the test group were lower than those in the reference group,with significant differences[nasal congestion:(0.35±0.09)vs(0.42±0.08)points,t=3.676,P=0.000;sneezing:(0.28±0.07)vs(0.34±0.08)points,t=3.569,P=0.000;rhinorrhea:(0.31±0.09)vs(0.39±0.08)points,t=4.201,P=0.000.The levels of eosinophils,IgE and CRP in the test group were lower than those in the reference group,with significant differences(P<0.05).The adverse reaction rate and recurrence rate in the test group were both lower than those in the reference group,with significant differences(P<0.05).Conclusion The combined use of montelukast sodium and nasal steroids in the treatment of pediatric allergic rhinitis is effective,significantly improving the levels of eosinophils,CRP and IgE,promoting the disappearance of disease symptoms,and reducing the risk of adverse reactions and recurrence.It is worthy of clinical promotion.

Abstract:Objective To explore the application value of an improved Streptococcus pneumoniae test for acute and chronic sinusitis.Methods 126 patients with acute and chronic sinusitis were selected from January 2023 to January 2024.After sampling all patients,routine test and BOX-PCR test were performed respectively.In comparison of the results of Optochin sensitivity test,the positive rate of Streptococcus pneumoniae,the missed and misdiagnosis rate and the diagnostic sensitivity for Streptococcus pneumoniae infection in the two groups were compared.Results The positive rate of Streptococcus pneumoniae was 93.65%by BOX-PCR test and 74.60%by conventional test(P<0.05).The missed and misdiagnosis rates of BOX-PCR test were 1.09%and 20.59%,while those of conventional test were 20.65%and 61.76%,respectively.The missed and misdiagnosis rates of BOX-PCR test were lower(P<0.05).The specificity and sensitivity of BOX-PCR test were 74.60%and 98.91%respectively,while those of conventional test were 61.76%and 79.35%,respectively.BOX-PCR test had higher diagnostic accuracy and better reliability(P<0.05).Conclusion The improved detection technique has significant value.BOX-PCR technique can effectively improve the detection rate of Streptococcus pneumoniae in sinusitis,with high specificity and sensitivity,and the application effect is good,so it is worthy of promotion.

Abstract:Objective To explore the therapeutic measures and application effects of integrated Chinese and Western medicine after thyroid cancer surgery.Methods 156 patients with thyroid cancer,who received surgical treatment in our hospital from October 2020 to December 2023,were selected as the study subjects,and were divided into observation group(76 cases,with combined treatment of Chinese and Western medicine),and control group(80 cases,with Western medicine treatment),to compare the treatment effect.Results Compared with the control group,the observation group had significantly lower TG level(after treatment)[(1.27±0.49)mmol/L vs(1.52±0.56)mmol/L,P<0.05].In comparison of immune function indicators(after treatment),the levels of CD 3+(80.21±5.09)%,CD 4+(47.29±4.87)%and CD 4+/CD 8+(1.63±0.37)of the observation group were higher than those of the control group[(75.64±6.43)%,(41.06±5.22)%and(1.40±0.51),respectively,P<0.05].The score of dry mouth and dry throat,palpitation score as well as fever and hypersweating score in the observation group were higher than those in the control group(P<0.05).Conclusion The application of integrated Chinese and Western medicine therapy in the postoperative rehabilitation of thyroid cancer patients can effectively relieve the hyperthyroidism of patients,reduce the discomfort of patients,and accelerate the recovery of physical functions.

Abstract:Objective To explore and analyze the impact of standardized continuous care on compliance behavior and self-efficacy of patients with chronic sinusitis after endoscopic sinus surgery.Methods A retrospective analysis was conducted on 100 patients with chronic sinusitis who underwent endoscopic sinus surgery and were treated in the hospital from August 2021 to August 2023.According to the differences in nursing care methods,they were divided into two groups.Among them,50 patients who received routine nursing care were included in the control group,and 50 patients who received routine nursing care additionally with standardized continuous care were included in the observation group.The compliance behavior,self-efficacy(GSES),and quality of life(SF-36)were compared before and after nursing care between two groups.Results The compliance with medical advice was significantly higher in the observation group than in the control group(94.0%vs 80.0%,χ2=4.332,P=0.037).After 3 months of follow-up,the scores of each dimension of the GSES were significantly higher in the observation group than in the control group(all P<0.05).Similarly,the SF-36 score of the observation group was significantly higher than that of the control group after 3 months of follow-up[(85.17±6.64)vs(79.52±7.45),t=4.003,P<0.001].Conclusion In patients with chronic rhinosinusitis after endoscopic sinus surgery,the implementation of standardized continuous care can enhance their compliance with medical advice,thereby improving self-efficacy and quality of life.

Abstract:Objective To explore the clinical efficacy of Kangfuxin liquid combined with dexamethasone in the treatment of chronic pharyngitis patients.Methods Eighty patients with chronic pharyngitis admitted to our hospital from December 2021 to December 2023 were included.All subjects were randomly divided into a control group(40 cases,treated with gentamicin+dexamethasone sodium phosphate and chymotrypsin)and an observation group(40 cases,treated with Kangfuxin solution+dexamethasone)using a random number table method.The treatment efficiency,symptom disappearance time,inflammatory factors,and immune function between the groups were evaluated.Results The treatment efficiency of the observation group was significantly higher than that of the control group(95.00%vs 70.00%,P<0.05).The various clinical symptom relief times in the observation group were significantly shorter than those of the control group[(5.3±1.2)d vs(7.7±2.3)d for dry and itchy throat,(3.0±1.0)d vs(4.0±1.4)d for hoarse voice,(3.7±0.4)d vs(4.7±0.8)d for foreign body sensation,and(3.0±0.2)d vs(3.8±0.6)d for throat obstruction,all P<0.05].The improvements of inflammatory factors and immune function in the observation group were significantly greater than those of the control group[(114.52±15.40)ng/L vs(124.56±16.35)ng/L for TNF-α,(138.54±18.23)ng/L vs(165.23±19.25)ng/L for IL-6,(38.56±4.63)%vs(34.26±4.05)%for CD4+T cells,(28.54±6.32)%vs(26.05±4.23)%for CD8+T cells,and(1.40±0.33)vs(1.21±0.22)for CD4+/CD8+T cells,all P<0.05).Conclusion Compared with conventional medication regimens,Kangfuxin liquid+dexamethasone therapy can take effect in a shorter time,improve patient throat discomfort symptoms,reduce patient inflammatory factor levels,promote immune function enhancement,and achieve better clinical efficacy.

Abstract:Objective To evaluate the effect of nursing intervention and to analyze related indicators in patients with bronchial asthma and comorbid allergic rhinitis.Methods A total of 66 patients with bronchial asthma and allergic rhinitis admitted to the Second People's Hospital of Shandong Province from February 2021 to February 2023 were randomly allocated into two groups using a random number table method:the control group(n=33)received routine care,and the observation group(n=33)received comprehensive nursing intervention.The comparison indicators were symptom score,compliance,self-care ability,and satisfaction.Results Compared with the control group,the observation group demonstrated significantly lower post-intervention symptom scores for nasal itching[(0.77±0.11)vs(1.21±0.07)],runny nose[(0.81±0.14)vs(1.05±0.11)],and nasal congestion[(0.83±0.06)vs(1.03±0.05)](all P<0.05).The post-intervention compliance score and self-care ability score in the observation group were both significantly higher than those in the control group(both P<0.05).The overall satisfaction rate was significantly higher in the observation group(100％,33/33)than in the control group(84.9％,28/33)(χ2=5.410,P=0.020).Conclusion Comprehensive nursing intervention is effective for patients with bronchial asthma and allergic rhinitis.It can enhance patient compliance,alleviate symptoms,improve self-care ability and satisfaction,and is thus worthy of clinical application.

Abstract:Objective To investigate the efficacy of Danhong injection combined with betahistine in the treatment of patients with acute posterior circulation ischemic vertigo.Methods 96 cases were selected for the study from patients with acute posterior circulation ischemic vertigo admitted to our hospital from May 2022 to May 2024.They were randomly divided into three groups:control group(32 cases),Danhong group(32 cases),and combination group(32 cases).The control group was treated with betahistine,the Danhong group was treated with Danhong injection,and the combination group was treated with Danhong injection combined with betahistine.After 7 days of continuous treatment,the clinical efficacy,Dizziness Handicap Inventory(DHI)score,Barthel Index score,and cerebral hemodynamic indicators[basilar artery(BA),left vertebral artery(LVA)and right vertebral artery(RVA)blood flow velocity]were compared among the three groups.Results There was a significant difference in the clinical effective rate among the three groups,and the combination group had a higher effective rate than the Danhong group and the control group separately(P<0.05),but there was no significant difference between the control group and the Danhong group(P>0.05).Compared with results before treatment,the DHI scores of all three groups decreased,with the sequence of control group>Danhong group>combination group.The Barthel scores increased,with the sequence of control group<Danhong group<combination group(P<0.01).The blood flow velocities in BA,LVA and RVA were lower in the control group than in the Danhong group,while those in the combination group were the highest(P<0.01).Conclusion The effective rate of Danhong injection combined with betahistine therapy is high in patients with posterior circulation ischemic vertigo,and it can better improve the dizziness symptoms and daily activity function of patients.And the clinical efficacy of Danhong injection is similar to that of betahistine.

Abstract:Objective To explore the application of nasal endoscopic imaging system combined with flipped classroom in rhinology internships.Methods 60 students on internship in Department of Otorhinolaryngology-Head and Neck Surgery were randomly divided into the observation group(adopting nasal endoscopic imaging system combined with flipped classroom teaching,n=30)and the control group(adopting traditional teaching methods,n=30).The teaching effects of the two groups were compared through knowledge exam scores and questionnaire surveys(including teaching environment,teaching satisfaction,and learning interest).Results The knowledge exam score of the observation group(90.2±6.6)was higher than that of the control group(79.3±12.6)(t=4.202,P<0.001),with more students(20,66.7%)achieving A level(excellent)exam scores in the observation group than in the control group(11,36.6%;χ2=5.406,P<0.01).The questionnaire survey results showed that teaching environment,teaching satisfaction,and learning interest of the observation group were better than those of the control group(P<0.05).Conclusion The combination of nasal endoscopic imaging system and flipped classroom in rhinology internship can cultivate students'self-learning and thinking abilities,enhance their interest in rhinology learning,promote knowledge mastery and understanding,and achieve good teaching results.

Abstract:Objective To study the practical value of digital radiography(DR)of nasopharynx in lateral projection in diagnosing adenoid hypertrophy in children.Methods A retrospective study was conducted on 60 children with adenoid hypertrophy who underwent nasopharyngeal DR in lateral projection in the Radiology Department of Yiyuan County Yan CliffHealth Center from April 2022 to June 2024.30 healthy children who underwent the same examination during the same period were included as the control group.The consistency between diagnostic results and pathological diagnoses was observed,and adenoid index and thickness were compared across hypertrophy grades to analyze the diagnostic efficacy of DR.Results DR detection rate was 91.67％,highly meeting the pathological diagnosis results(P>0.05).Adenoid index was(0.63±0.08)and adenoid thickness was(14.24±1.87)mm in grade Ⅰ hypertropy,(0.72±0.09)and(15.36±1.47)mm in grade Ⅱ hypertropy,and(0.83±0.10)and(16.71±2.05)mm in grade Ⅲ hypertropy,respectively,with those of grade Ⅲ>grade Ⅱ>grade Ⅰ(all P<0.05).The sensitivity of DR diagnosis was 91.7％,specificity was 100.0％,and accuracy was 94.4％.Conclusion Nasopharyngeal DR in lateral projection can clearly present the morphological characteristics of adenoid.At the same time,the degree of hypertrophy in children can be evaluated according to the adenoid index and thickness.Nasopharyngeal DR in lateral projection is easy to operate and offers high accuracy,making it a common method for clinical diagnosis.

Abstract:Objective To explore the clinical efficacy of combining the Liyan mixture with ear acupressure treatment for chronic pharyngitis of yin deficiency and blood stasis type.Methods A total of 100 patients with chronic pharyngitis(yin deficiency and blood stasis type)who visited the Otolaryngology Department of Rudong County Traditional Chinese Medicine Hospital from August 2020 to August 2023 were selected.There were 51 males and 49 females,aged between 33 to 58 years.The patients were randomly divided into two groups(50 cases each)using a random number table.The control group received routine treatment with Liyan mixture,while the observation group received a combination of Liyan mixture and ear acupressure treatment.Both groups were treated continuously for 4 weeks.Results The clinical effect of the observation group(98%,with only 1 case ineffective)was higher than that of the control group(86%)(χ2=4.891,P<0.05).In the observation group,the symptom improvement time was shorter and the Traditional Chinese Medicine symptom score was lower than those in the control group(P<0.01).Conclusion Compared with Liyan mixture alone,the combination of Liyan mixture and ear acupressure treatment for patients with chronic pharyngitis of yin deficiency and blood stasis type offers greater advantages,making it worthy of clinical reference and promotion.

Abstract:Objective To evaluate the efficacy of endoscopic low-temperature plasma radiofrequency ablation of Adenoid combined with bilateral tonsillectomy in the treatment of snoring in children.Methods From January 2022 to March 2023,78 cases of snoring children were selected from the otorhinolaryngology department of our hospital to conduct a systematic study.They were evenly divided according to the random number table.There were 39 cases in the control group(Adenoid and tonsillectomy)and 39 cases in the observation group(endoscopic low-temperature radio frequency ablation of Adenoid combined with bilateral tonsillectomy).The clinical efficacy Quality of life(OSA-18 score),as well as surgical related indicators(surgical duration,intraoperative bleeding,postoperative symptom improvement,hospital stay),and postoperative pain score.Result The total effective rate of the observation group was significantly higher than that of the control group,and their quality of life scores in all aspects after treatment were lower than those of the control group,with statistical significance(P＜0.05);The observation group had shorter surgical duration,postoperative symptom improvement time,and hospital stay compared to the control group,with less intraoperative bleeding and lower postoperative pain scores.The statistical difference was significant,with a result of P＜0.05.Conclusion The combined treatment of endoscopic low-temperature plasma radiofrequency ablation of Adenoid and bilateral tonsillectomy for children with snoring has a significant effect,which has a positive effect on improving the symptoms of snoring,reducing pain and improving their quality of life,and is worthy of clinical adoption.

Abstract:Objective To investigate the changes in olfactory function in patients after endoscopic sinus surgery.Method A retrospective analysis was conducted on 100 patients with functional olfactory dysfunction who underwent endoscopic surgery at the Otolaryngology Department of Xiajin County People's Hospital from July 2021 to December 2022.The changes in olfactory function and quality of life were compared before and after surgery at 3 and 6 months.Compared with the preoperative group,the olfactory VAS scores at 3 and 6 months after surgery were significantly lower than those of the control group(P＜0.05);There was no significant difference between 3 months after surgery and 6 months after surgery,P＞0.05;Compared with the preoperative group,the olfactory T&T test scores at 3 and 6 months after surgery were significantly lower than those of the control group(P＜0.05);There was no significant difference between 3 months and 6 months after surgery,P＞0.05.Mild impairment:postoperative olfactory improvement of 75.00％,moderate impairment,postoperative olfactory improvement of 80.00％,severe impairment,postoperative olfactory improvement of 73.85％;The quality of life scores of patients at 3 and 6 months after surgery were significantly higher than those before surgery,and there was no significant difference between 3 and 6 months after surgery(P＞0.05).Conclusion Nasal endoscopic surgery for patients with functional olfactory dysfunction can effectively improve their olfactory function and improve their quality of life.

Abstract:Objective To analyze and evaluate the clinical effect of perioperative intensive nursing in patients undergoing thyroid nodule surgery.Methods Based on the lottery method,70 patients who underwent thyroid nodule surgery in our hospital from January 2019 to January 2023 were included in this study and divided into the reference group(35 cases)and the experimental group(35 cases).The reference group received perioperative routine nursing,and the experimental group received perioperative refined nursing.Comfort score,negative emotion score before and after nursing,postoperative complications and nursing satisfaction were compared between the two groups.Results The total incidence of postoperative complications in experimental group was 2.86％lower than that in control group,17.14％.All comparison results of nursing satisfaction score and comfort score of experimental group were better than that of the reference group,and the overall comparison difference was statistically significant P＜0.05.There was no statistical significance in the comparison of negative emotion between the two groups before nursing(P＞0.05).After nursing,the SDS and SAS scores of the experimental group were all better than those of the reference group(P＜0.05).Conclusion The overall effect of perioperative refined nursing intervention for patients with thyroid nodule surgery is relatively significant,which can effectively relieve patients'negative emotions and reduce postoperative complications.Patients have a high degree of satisfaction with nursing methods,which is worth popularizing and implementing.