中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
6期
24-26
,共3页
鼻腔%鼻炎,变应性,常年性%0.9％氯化钠%鼻后滴流综合征
鼻腔%鼻炎,變應性,常年性%0.9％氯化鈉%鼻後滴流綜閤徵
비강%비염,변응성,상년성%0.9％록화납%비후적류종합정
Nasal cavity%Rhinitis,allergic,perennial%0.9％ sodium%Stnasal drip syndrome
目的 观察0.9％氯化钠冲洗鼻腔辅助治疗变应性鼻炎伴鼻后滴流症状的临床疗效.方法 将58例变应性鼻炎伴鼻后滴流症状患者按随机数字表法分为两组,每组29例,治疗组在规范使用抗组胺类药物、鼻用激素及鼻用减充血剂治疗的基础上,鼻用激素前用0.9％氯化钠冲洗鼻腔；对照组未用0.9％氯化钠冲洗鼻腔,疗程共6周,观察两组患者变应性鼻炎症状及鼻后滴流症状改善情况.结果 变应性鼻炎临床控制疗效:治疗组总有效率96.6％(28/29),对照组总有效率72.4％(21/29),两组比较差异有统计学意义(P＜0.05).鼻后滴流症状临床控制疗效:治疗组有效率89.7％(26/29),对照组有效率58.6％(17/29),两组比较差异有统计学意义(P＜0.05).结论 0.9％氯化钠冲洗鼻腔可有效改善变应性鼻炎的鼻部症状,同时可减轻鼻后滴流症状,是较为安全有效的治疗方法.
目的 觀察0.9％氯化鈉遲洗鼻腔輔助治療變應性鼻炎伴鼻後滴流癥狀的臨床療效.方法 將58例變應性鼻炎伴鼻後滴流癥狀患者按隨機數字錶法分為兩組,每組29例,治療組在規範使用抗組胺類藥物、鼻用激素及鼻用減充血劑治療的基礎上,鼻用激素前用0.9％氯化鈉遲洗鼻腔；對照組未用0.9％氯化鈉遲洗鼻腔,療程共6週,觀察兩組患者變應性鼻炎癥狀及鼻後滴流癥狀改善情況.結果 變應性鼻炎臨床控製療效:治療組總有效率96.6％(28/29),對照組總有效率72.4％(21/29),兩組比較差異有統計學意義(P＜0.05).鼻後滴流癥狀臨床控製療效:治療組有效率89.7％(26/29),對照組有效率58.6％(17/29),兩組比較差異有統計學意義(P＜0.05).結論 0.9％氯化鈉遲洗鼻腔可有效改善變應性鼻炎的鼻部癥狀,同時可減輕鼻後滴流癥狀,是較為安全有效的治療方法.
목적 관찰0.9％록화납충세비강보조치료변응성비염반비후적류증상적림상료효.방법 장58례변응성비염반비후적류증상환자안수궤수자표법분위량조,매조29례,치료조재규범사용항조알류약물、비용격소급비용감충혈제치료적기출상,비용격소전용0.9％록화납충세비강；대조조미용0.9％록화납충세비강,료정공6주,관찰량조환자변응성비염증상급비후적류증상개선정황.결과 변응성비염림상공제료효:치료조총유효솔96.6％(28/29),대조조총유효솔72.4％(21/29),량조비교차이유통계학의의(P＜0.05).비후적류증상림상공제료효:치료조유효솔89.7％(26/29),대조조유효솔58.6％(17/29),량조비교차이유통계학의의(P＜0.05).결론 0.9％록화납충세비강가유효개선변응성비염적비부증상,동시가감경비후적류증상,시교위안전유효적치료방법.
Objective To observe the clinical effect of 0.9％ sodium nasal irrigation to adjuvant treatment of allergic rhinitis with postnasal drip symptoms.Methods Fifty-eight patients of allergic rhinitis with postnasal drip symptoms were divided into two groups by random number table method,29 cases in each.The treatment group was treated on the basis by antihistamine drugs in the specification,nasal steroid and nasal decongestants,given 0.9％ sodium to nasal irrigation before nasal steroid;the control group was not given 0.9％ sodium to nasal irrigation before nasal steroid,treatment for 6 weeks,improvement of allergic rhinitis symptoms and postnasal drip symptoms were observed in two groups.Results The clinical efficacy of allergic rhinitis:the total effective rate in treatment group was higher than that in control group [96.6％ (28/29) vs.72.4％ (21/29)],which reached statistical significance (P ＜ 0.05).The clinical efficacy of postnasal drip symptoms:the effective rate in treatment group was higher than that in control group [89.7％ (26/29) vs.58.6％(17/29)],which reached statistical significance(P＜ 0.05).Conclusions 0.9％ sodium nasal irrigation can improve the nasal symptoms of allergic rhinitis,reduce postnasal drip symptoms at the same time.It is a safe and effective treatment method.
