中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
23期
31-32
,共2页
鼻内窥镜术%鼻窦灌注液冲洗%慢性鼻窦炎%治疗效果
鼻內窺鏡術%鼻竇灌註液遲洗%慢性鼻竇炎%治療效果
비내규경술%비두관주액충세%만성비두염%치료효과
Endoscopic sinus surgery%Sinus perfusion fluid flush%Chronic sinusitis%Treatment effect
目的 探讨并总结鼻内窥镜术后鼻窦灌注液冲洗在慢性鼻窦炎治疗中的效果.方法 选取长治医学院附属和济医院收治的鼻内窥镜术后用鼻窦灌注液冲洗治疗慢性鼻窦炎的患者60例,将其作为研究对象,随机分为实验组和对照组两组,每组30例,实验组采用加减辛夷冲洗液(由加减辛夷散自制而成)内加入庆大霉素和地塞米松的方法冲洗鼻腔,对照组只给予加减辛夷冲洗液.定期检测黏膜纤毛传输功能情况及其嗜酸性粒细胞数目的变化情况.结果 实验组治疗5周后恢复率为60％,对照组为27％,实验组纤毛传输功能的恢复情况优于对照组,差异有统计学意义(P＜0.05).实验组治疗后嗜酸性粒细胞减少了3.5％,对照组减少了1.6％,两组比较差异无统计学意义(P＞0.05).两组均无不良反应和其他异常现象.结论 采用加减辛夷冲洗液(由加减辛夷散自制而成)内加入庆大霉素和地塞米松冲洗鼻腔的临床效果优于单独使用加减辛夷冲洗液冲洗鼻腔,值得在临床上广泛推广.
目的 探討併總結鼻內窺鏡術後鼻竇灌註液遲洗在慢性鼻竇炎治療中的效果.方法 選取長治醫學院附屬和濟醫院收治的鼻內窺鏡術後用鼻竇灌註液遲洗治療慢性鼻竇炎的患者60例,將其作為研究對象,隨機分為實驗組和對照組兩組,每組30例,實驗組採用加減辛夷遲洗液(由加減辛夷散自製而成)內加入慶大黴素和地塞米鬆的方法遲洗鼻腔,對照組隻給予加減辛夷遲洗液.定期檢測黏膜纖毛傳輸功能情況及其嗜痠性粒細胞數目的變化情況.結果 實驗組治療5週後恢複率為60％,對照組為27％,實驗組纖毛傳輸功能的恢複情況優于對照組,差異有統計學意義(P＜0.05).實驗組治療後嗜痠性粒細胞減少瞭3.5％,對照組減少瞭1.6％,兩組比較差異無統計學意義(P＞0.05).兩組均無不良反應和其他異常現象.結論 採用加減辛夷遲洗液(由加減辛夷散自製而成)內加入慶大黴素和地塞米鬆遲洗鼻腔的臨床效果優于單獨使用加減辛夷遲洗液遲洗鼻腔,值得在臨床上廣汎推廣.
목적 탐토병총결비내규경술후비두관주액충세재만성비두염치료중적효과.방법 선취장치의학원부속화제의원수치적비내규경술후용비두관주액충세치료만성비두염적환자60례,장기작위연구대상,수궤분위실험조화대조조량조,매조30례,실험조채용가감신이충세액(유가감신이산자제이성)내가입경대매소화지새미송적방법충세비강,대조조지급여가감신이충세액.정기검측점막섬모전수공능정황급기기산성립세포수목적변화정황.결과 실험조치료5주후회복솔위60％,대조조위27％,실험조섬모전수공능적회복정황우우대조조,차이유통계학의의(P＜0.05).실험조치료후기산성립세포감소료3.5％,대조조감소료1.6％,량조비교차이무통계학의의(P＞0.05).량조균무불량반응화기타이상현상.결론 채용가감신이충세액(유가감신이산자제이성)내가입경대매소화지새미송충세비강적림상효과우우단독사용가감신이충세액충세비강,치득재림상상엄범추엄.
Objective To investigate and summarize the effect of sinus perfusion fluid flushing after nasal endoscopic on chronic sinusitis.Methods Sixty patients with chronic sinusitis,which were given sinus perfusion fluid flushing after nasal endoscopic in Heji Hospital Mfiliated to Changzhi Medical College were chose as research subjects.They were randomly divided into two groups,the experiment group and the control group,each group had 30 cases,the experiment group were given subtraction magnolia flushing fluid (which from homemade of subtraction magnolia san) and added gentamycin and dexamethasone to rinse the nasal cavity,the control group were given subtraction magnolia flushing fluid.The function of the mucociliary transport and the changes of number in eosinophils were regularly detected.Results Mter 5 weeks of treatment,the recovery rate of the experiment group was 60％,the recovery rate of the control group was 27％,the recovery of function in the mucociliary transport of the experiment group was much better than that of the control group (P ＜ 0.05).Mter treatment,the number of eosinophils decreased by 3.5％ in experiment group,that in the control group decreased by 1.6％,there was no obvious changes between the two groups(P ＞0.05).In the course of treatment,the experiment group and the control group had no adverse reactions and other anomalies.Conclusions Subtraction magnolia flushing fluid(which from homemade of subtraction magnolia san) and added the gentamycin and dexamethasone to rinse the nasal cavity has better effect than the control group of subtraction magnolia flushing fluid to rinse the nasal cavity,it was worthy of promoting in clinical practice.
