Adenoidectomía - amigdalectomía : valoración de su eficacia en las enfermedades respiratorias superiores en niños menores de 8 años 2008 - 2011
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Las enfermedades respiratorias agudas superiores (ERAS) a repetición, constituyen la primera causa de consultas medias y de morbilidad, en los países desarrollados como en los en vía de desarrollo. A pesar que las enfermedades respiratorias bajas concentran la atención por su mayor complejidad, costo y complicaciones, son las ERAS las que se presentan el mayor número en la consulta ambulatoria. El objetivo fue Evaluar la eficacia de la adeno - amigdalectomía, en la reducción de la incidencia de las enfermedades respiratorias agudas superiores en los pacientes menores de 8 años, del Hospital de Niños León Becerra de Guayaquil de enero del 2008 a diciembre del 2011. Tipo de investigación: descriptiva. Diseño: no experimental, retrospectivo. Resultados: El sexo masculino fue el más afectado 64,39 %, el diagnóstico de ingreso más frecuente fue amigdalitis 25, 76%, seguido de hipertrofia de adenoides 25% y de faringo amigdalitis el 24%. El número de episodios anteriores a la cirugía fueron 4, 25%, 3 episodios 24% y con 5 episodios 23,48%. En el servicio de ORL entre el 2008 - 2011, el 6,60 % del total de pacientes fueron intervenidos quirúrgicamente. Este porcentaje representó 132 pacientes, de los cuales el 69,70 % fueron adeno amigdalectomías, 15,51% correspondió a amigdalectomías y adenoidectomías al 14,39%. No presentaron episodios a repetición el 85,61%, de los cuales el 30,30% correspondió al sexo femenino y el 55,30% a varones, presentaron nuevos episodios post – cirugía el 14, 39%, se repitieron 2 episodios 9%, 3% con 3 episodios y 2% con un episodio.
Acute upper respiratory diseases (ERAS) to repeat the first cause of morbidity and stockings consultations, in developed and in developing countries. Although lower respiratory diseases the attention due its complexity, cost and complications are the ERAS which the greater number are presented in the outpatient clinic. The objective was to evaluate the efficacy of adeno - tonsillectomy in reducing the higher incidence of acute respiratory illness in patients younger than 8 years, Children's Hospital of Guayaquil León Becerra January 2008 to December 2011. Type of research: descriptive. Design: nonexperimental, retrospective. Results: Males were most affected 64.39 %, the most common admission diagnosis was tonsillitis 25, 76 %, followed by adenoid hypertrophy 25 % and 24% pharyngeal tonsillitis. The number of episodes prior to surgery was 4, 25 %, 24 % and 3 episodes with 5 episodes 23.48%. In the ENT department between 2008 - 2011, 6.60% of all patients underwent surgery. This percentage represented 132 patients, of which 69.70 % were adeno tonsillectomy, tonsillectomy accounted for 15.51% and 14.39% adenoidectomies. No recurrent episodes showed the 85.61 % , of which 30.30% were females and 55.30 % males , presented new episodes post - surgery 14 , 39 %, 2 episodes were repeated 9% 3 % with 3 episodes and 2 % with an episode.
Acute upper respiratory diseases (ERAS) to repeat the first cause of morbidity and stockings consultations, in developed and in developing countries. Although lower respiratory diseases the attention due its complexity, cost and complications are the ERAS which the greater number are presented in the outpatient clinic. The objective was to evaluate the efficacy of adeno - tonsillectomy in reducing the higher incidence of acute respiratory illness in patients younger than 8 years, Children's Hospital of Guayaquil León Becerra January 2008 to December 2011. Type of research: descriptive. Design: nonexperimental, retrospective. Results: Males were most affected 64.39 %, the most common admission diagnosis was tonsillitis 25, 76 %, followed by adenoid hypertrophy 25 % and 24% pharyngeal tonsillitis. The number of episodes prior to surgery was 4, 25 %, 24 % and 3 episodes with 5 episodes 23.48%. In the ENT department between 2008 - 2011, 6.60% of all patients underwent surgery. This percentage represented 132 patients, of which 69.70 % were adeno tonsillectomy, tonsillectomy accounted for 15.51% and 14.39% adenoidectomies. No recurrent episodes showed the 85.61 % , of which 30.30% were females and 55.30 % males , presented new episodes post - surgery 14 , 39 %, 2 episodes were repeated 9% 3 % with 3 episodes and 2 % with an episode.
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Adenoidectomía, Amigdalectomía, Enfermedades del tracto respiratorio, Pediatría, Epidemiología descriptiva, Estudios restropectivos, Hospital de Niños León Becerra, Cantón Guayaquil, Ecuador