鼻窦负压置换疗法治疗慢性鼻窦炎临床分析.docVIP

鼻窦负压置换疗法治疗慢性鼻窦炎临床分析 　　[摘要] 目的:通过对比鼻窦负压置换疗法和呋喃西林麻黄素疗法应用于慢性鼻窦炎治疗的临床效果,探讨鼻窦负压置换疗法的优势。方法:将140例慢性鼻窦炎患者随机分为对照组和治疗组,各70例。对照组使用呋喃西林麻黄素液治疗,实验组使用窦负压置换术治疗。治疗结束后对比和分析治疗效果。结果:实验组总有效率为92.9%,对照组为64.3%,实验组疗效显著优于对照组(P0.05)。结论:鼻窦负压置换疗法应用于慢性鼻窦炎疗效显著,安全性高,毒副作用小,痛苦小,值得临床推广应用。 　　[关键词] 鼻窦负压置换疗法;慢性鼻窦炎;临床效果 　　[中图分类号] R765.41[文献标识码]A [文章编号]1673-7210(2010)02(b)-048-02 　　 　　The study of clinical effect on proetz treatment therapy applied in chronic sinusitis 　　JING Guanghuai 　　(The Longhua Peoples Hospital of Shenzhen City, Guangdong Province, Shenzhen 518109, China) 　　[Abstract] Objective: To explore the advantage of proetz treatment therapy by comparing the clinical effect of proetz treatmen and nitrofuran combined ephedrine applied in chronic sinusitis. Methods: 140 cases of patients with chronic sinusitis were randomly divided into experimental group (70 cases) and control group (70 cases). Control group were treated with nitrofuran combined ephedrineliquid, and experimental group were treated with proetz treatment therapy.The therapeutic effect were compared and analyzed after treatment. Results: The total effective rate in experimental group was 92.9%, and in control group was 64.3%, remarkable curative effect of experimental group was significantly better than that of the control group (P0.05). Conclusion: Proetz treatment therapy applied to chronic sinusitis shows high safety and efficacy, and low side effects, so it is worth of clinical application. 　　[Key words] Proetz treatment therapy; Chronic sinusitis; Clinical effects 　　 　　慢性鼻窦炎是耳鼻咽喉科多发病和常见病,近年来其发病率有逐步上升的趋势。其非手术治疗方案可口服抗生素,但其周期较长,毒副作用较多[1],而鼻窦负压置换疗法可以较好地避免上述不足,因此近年来在临床上得到越来越广泛的应用。为了探讨负压置换疗法和传统药物疗法的特点,本文对140例慢性鼻窦炎的治疗资料进行了回顾性分析,现将结果报道如下: 　　1 资料与方法 　　1.1 一般资料 　　2007年4月～2009年1月我院共收治儿童慢性鼻窦炎患者140例,其中,男79例,女61例;年龄最大13岁,最小7岁,平均9.5岁。CT诊断标准:上颌窦内有液平面,黏膜肿胀肥厚,窦腔密度增高,所有患者均行鼻窦CT检查和体征检查确诊,排除鼻息肉患者。临床症状:主要表现为头痛、头昏,鼻塞、流脓涕,嗅觉障碍等,部分患患者有扁桃体肥大和腺样体肥大症状。所有患者按照入院先后顺序随机分为治疗组和对照组,各70例,两组在年龄、性别比、临床表现等方面均无显著性差异(P0.05),具有可比性。 　　1.2 方法 　　1.2.1 对