TỔNG QUAN VỀ CÁC THANG ĐIỂM LÂM SÀNG TRONG CHẨN ĐOÁN VA QUÁ PHÁT Ở TRẺ EM

Abstract

Adenoid hypertrophy is a common disease in children and with an estimated rate of 49.70%. Diagnosis of adenoid hypertrophy in children faces many difficulties during examination because they scared. In some cases, anesthesia is required to assess the grade of adenoid. Many authors have studied on clinical symptoms score to diagnose adenoid hypertrophy. We conducted a scoping review from researchs in the world until 06/2021 with objectives synthesize the clinical symptoms scores is available and comment on the result of studies. The result show that 15 studies were selected. The common clinical symptoms are: snoring 8/10; mouth breathing 7/10; sleep apnea 6/10; difficulty breathing while sleeping 3/10; hyponasality 3/10; daytime symptoms 3/10; recurrent otitis media 2/10; recurrent nasopharyngitis 2/10; discharge nose 2/10. 5/7 studies had a statistically significant correlation with lateral skull X-ray, 3 studies had a high correlation with nasal enoscopy, 3 studies assessed the sensitivity and specificity as 22%-78% and 88%-100%.