慢性鼻窦炎鼻息肉内窥镜术后中医辨证分型及疗效观察-中医五官科学专业毕业论文.docxVIP

CI CI inicaI Study on Effect of Chinese HerbaI MedicineTherapy to ChroniC NasaI SinusitiS or NasaI PIOyps after EndoscopiC Surgery SpeciaI ity：OtorhinoIarygoI Author：XingYou Zhai Tutor：Baoshan 0iu Abstract [Objectlve】： To observe the effect of chinese herbal medicine(CHM)therapy to chronic nasal sinusitis or nasal polyps(ii and III)patients after endoscopic sinus surgery(Ess)，improve the condition in the clinical symptom、physical sign、 cleaning tiame and epithelization time in nasal cavity after ESS，put out prel iminary assessment for its therapeutic effect and look for the regularity of the syndromes Differentiastion． [Methods]： 52(100 nasal and sinus cavities)chronic nasal sinusitis or nasal ployps in-patiants from the first affiliated hospital of Guangzhou University of T例 were randomly allocated to treatment group(n=26，50 nasal and sinus cavities)and control group(n=26，50 nasal and sinus cavities)from 2006．6 to 2007．2．All the cases were administrated with the treatment plan refer to XU—geng’S，herbal drug was add to treatment group post operation for at least 8 weeks，and control group without herbal drug． We summarized to 2 syndromes in these patients as followed：syndrome of damp and heat on the gallbladder、 lung and spleen-stomach， syndrome of splenasthenic fluid—retention． endoscope examine was done each week during the first 4 weeks and each two or four weeks during the last after operation，and The T伽syndrome type，the clean of nasal and sinus cavity，mucosa edema,vesicles，granulation tissue，mini—polyps，fibrous hyperplasia，and complete epithelization etc was recorded．3 month later the therapy effect was evaluated separately reference to to the Haikou’s standard in 1997，according to amendment percentage in pretherapy and post—treatment syndrome、physical sign sum scoring． [Results]： 1．There were significant difference between the two groups(PO．05)on the time of the clean of nasal and sinus cavity，the lasting time of vesicles and mucosa edema,the time of co