Analysis Of Related Factors Of Tonsil And Adenoid Hypertrophy

【Objective】The study is to explore the related factors of the degree of hypertrophy of tonsils and adenoid,and to provide help for the diagnosis,treatment and prevention of children with tonsils and adenoid.【Methods】Children with tonsillar hypertrophy and / or adenoid hypertrophy that meet the inclusion and exclusion criteria were selected from July to September 2019(student summer).All children underwent otolaryngology examination,video laryngoscope,sonography,blood routine(mean platelet volume and eosinophil percentage),total peripheral blood Ig E,inhaled allergens and ingested allergens before surgery(Serum-specific Ig E),25-hydroxyvitamin D and other tests.The size of the tonsils was grouped using the Brodsky scale,and the adenoid was divided into four degrees according to the video rhino-pharyngoscope examination,and the posterior nostril was blocked.Statistical analysis of the data obtained to explore the relevant factors of tonsil and adenoid hypertrophy.【Results】1.A total of 185 children were included in this study,with an average age of 7.70± 2.32 years,including 110 males and 75 females.There was no statistical difference in gender distribution among different groups(P=0.524).2.The mean vitamin D level of the children included in this study was27.33±7.21 ng/ml,and the orderly Logistic regression analysis suggested that there was a statistically significant difference in the vitamin D level between the groups with the degree of tonsil hypertrophy(P < 0.05).There was a strong negative correlation between amygdala hypertrophy and vitamin D level(P < 0.05).3.In this study,it was found that there was no statistically significant difference between the degree of tonsil hypertrophy and the distribution of allergic rhinitis,peripheral blood total Ig E,BMI,age,disease course,blood calcium,blood phosphorus,and mean platelet volume(P > 0.05).However,119(64.3%)children were underweight,with a BMI less than 18.5.4.In this study,it was found that there was no statistically significant difference between the degree of adenoid hypertrophy and the distribution of vitamin D,allergic rhinitis,peripheral blood total Ig E,BMI,age,disease course,blood calcium,blood phosphorus,and mean platelet volume(P > 0.05).【Conclusion】1.The degree of tonsil hypertrophy is related to the level of vitamin D.Vitamin D level is an influencing factor for the degree of tonsil hypertrophy,and there is a negative correlation between the two.2.The degree of tonsil and adenoid hypertrophy was not significantly correlated with allergic rhinitis,peripheral blood total Ig E,BMI,age,disease course,blood calcium,blood phosphorus,and mean platelet volume.3.There was no significant correlation between the degree of adenoid hypertrophy and vitamin D level.