Pediatric Adenoid Hypertrophy And Antibiotic Application Of Correlation Study

Object：Explore the relationship of the rising incidence of adenoidhypertrophy in children and the irrational use of antibiotics.Methods：Through our hospital’s medical record query system, make thestatistics of annual Pediatric Adenoid Hypertrophy in children case numbers inour department in recent10years, and the list is compared；Making aretrospective statistical analysis of the experimental group and the controlgroup children of antibiotic use frequency, and the data is for statisticalanalysis；And the experimental group of adenoid hypertrophy associated withsecretory otitis media, tonsillar hypertrophy and recurrent etc. are makingcounting statistics.Results:1. Our Department of Otolaryngology-head and neck surgery,No.1Hospital of Jilin University,for nearly10years of adenoid hypertrophy inchildren operation treatment of hospitalized cases were:48cases in2002，62cases in2003，127cases in2004，174cases in2005，209cases in2006,358cases in2007,350cases in2008，411cases in2009，408cases in2010，415cases in2011；2. In Department of otolaryngology head and neck surgery, No.1Hospital of Jilin University,2011.01-2011.12, random choose200cases ofchildren with2-8at from a total of415cases of adenoid hypertrophy in patientswith operation into experimental group (66girls,134boys, mean age4.65years), in which the adenoid hypertrophy all blocked nose more than1/2,including2cases of postoperative recurrence in pediatric patients, accompaniedby secretory otitis media44cases (22％), accompanied by hypertrophy of thetonsils and operation resection180cases (90％)；3. In Jilin University affiliatedthird kindergarten and primary school attached to Northeast Normal University randomly extracted completely without adenoid hypertrophy of clinicalsymptoms of200cases of2-8years old children as control group (73girls,127boys, mean age4.495years)；4. List two groups average annual antibioticuse‘s frequency distribution table and frequency distribution graph, so that ismore conducive to direct observation, from the above that the experimentalgroup200cases: average number of antibiotic use were number2.4725, SD1；the control group200cases：average number of antibiotic use were number0.992, SD0.57. Using a large sample of hypothesis test (U test) analysisamong two groups of average annual antibiotic use frequency difference. ａ=0.05, P <0.05indicated a statistically significant. The result is P <0.01, withstatistical significance.Conclusion: The incidence of Pediatric adenoidal hypertrophy is rising；Pediatric Adenoid hypertrophy most accompanied by hypertrophy of thetonsils；The onset of Pediatric Adenoid Hypertrophy may be related to theunreasonable use of antibiotics.