不同浓度鼻腔冲洗联合鼻腔雾化治疗对慢性鼻―鼻窦炎患者鼻内镜术后疗效影响分析.docVIP

不同浓度鼻腔冲洗联合鼻腔雾化治疗对慢性鼻―鼻窦炎患者鼻内镜术后疗效的影响分析 　　【摘要】 目的：探讨不同浓度鼻腔冲洗联合鼻腔雾化治疗对慢性鼻-鼻窦炎患者鼻内镜术后疗效的影响。方法：选取2010年4月-2014年8月本院确诊治疗的慢性鼻-鼻窦炎患者84例，所有患者均给予鼻内镜术治疗，术后给予鼻腔冲洗联合鼻腔雾化治疗，依据冲洗液浓度分为高度组（2.5%盐水冲洗液）和低度组（0.9%盐水冲洗液），各42例，应用糖精法检测患者术后鼻黏液纤毛传输速率，应用SNOT-20量表评估患者术后生活质量评分，统计分析两组患者的疗效和治疗前、治疗后1、3、6个月鼻黏膜纤毛运输功能和生活质量。结果：高度组和低度组患者治疗总有效率分别为95.24%、80.85%，前者明显高于后者，差异有统计学意义（P0.05）；高度组患者治疗后1、3、6个月鼻黏液纤毛传输速率均明显高于低度组，差异均有统计学意义（P0.05）；高度组患者治疗后1、3、6个月生活质量评分均明显高于低度组，差异均有统计学意义（P0.05）。结论：高浓度鼻腔冲洗联合鼻腔雾化治疗可有效提高慢性鼻-鼻窦炎患者鼻内镜术后的疗效，促进术腔黏膜上皮化进程，从而加快鼻黏膜纤毛运输功能恢复，缩短疗程，值得临床作进一步推广。 　　【关键词】 浓度； 鼻腔冲洗； 慢性鼻-鼻窦炎； 疗效 　　Effect of Different Concentrations of Nasal Irrigation with Nasal Spray Treatment for Chronic Nasal Sinusitis Patients with Nasal Endoscopic Surgery/ZHU Xiu-e，YANG Xiao-hong，WU Hai-yan.//Medical Innovation of China，2016，13（18）：118-121 　　【Abstract】 Objective：To discuss the effect of different concentrations of nasal irrigation with nasal spray treatment for chronic nasal sinusitis patients with nasal endoscopic surgery.Method：A total of 84 patients with chronic nasal sinusitis were selected from April 2010 to August 2014 in our Hospitals，all patients were given the nasal endoscopic surgery，postoperative nasal flush with the nasal spray was given.According to flushing fluid concentration level，all patients were divided into highly group（2.5% saline flushing fluid） and low group（0.9% saline rinses），42 cases in each group，saccharin method was used to detect patients with postoperative nasal mucus cilia transmission rate，and application of SNOT-20 scale was used to assess patients with postoperative quality of life score，analysed the curative effect of two groups of patients and treatment before and after treatment 1，3，6 months the nasal mucosa cilia transportation function and quality of life.Result：The total effective rate of high and low group patients were 95.24%，80.85%，the difference was statistically significant（P 　　【Key words】 Concentrations； Nasal irrigation； Chronic nasal sinusitis； Curative effect 　　F