吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2015年
1期
133-135
,共3页
陈伟东%罗壁兰%林歆胜%陈展胜
陳偉東%囉壁蘭%林歆勝%陳展勝
진위동%라벽란%림흠성%진전성
超声雾化吸入%鼻窦炎术后%应用
超聲霧化吸入%鼻竇炎術後%應用
초성무화흡입%비두염술후%응용
Ultrasonic atomizing inhalation%After endoscopic sinus surgery%Application
目的：探讨慢性鼻-鼻窦炎功能性鼻内镜手术后应用家用超声雾化器对鼻部雾化吸入治疗的方法和临床疗效。方法：随机抽取行鼻内镜手术的鼻-鼻窦炎患者144例，随机分为试验组（78例）和对照组（66例），术后分别采用超声雾化吸入和加温生理盐水鼻腔冲洗治疗，1~2次/d，疗程3个月。比较两组患者鼻总体主观症状改善与创面恢复情况。结果：两组患者鼻总体主观症状都得到较好的改善。试验组治疗前鼻部总体症状评分VAS评分为（8.26±0.67）分，经过超声雾化吸入治疗3月后下降为（2.87±0.43）分，前后比较差异有统计学意义（t＝33.85，P<0.05）；对照组治疗前鼻部总体症状评分VAS评分为（8.23±0.54）分，经过鼻腔冲洗治疗3月后下降为（4.03±0.62）分，治疗前后比较差异有统计学意义（ t＝24.05，P<0.05），总体主观症状改善不如试验组明显。鼻内镜和鼻窦CT疗效判定：试验组总有效率92.3（72/78），对照组总有效率77.2（51/66），组间资料比较差异有统计学意义（χ2值＝9.26，P<0.05）。结论：采用家用超声雾化器雾化吸入疗法较好地协助鼻-鼻窦炎术后鼻部治疗，可安全有效改善患者鼻部主客观症状和促进创面功能恢复，改善生活质量，疗效可靠，也可作为慢性鼻-鼻窦炎术后治疗的一种常规途径和选择。
目的：探討慢性鼻-鼻竇炎功能性鼻內鏡手術後應用傢用超聲霧化器對鼻部霧化吸入治療的方法和臨床療效。方法：隨機抽取行鼻內鏡手術的鼻-鼻竇炎患者144例，隨機分為試驗組（78例）和對照組（66例），術後分彆採用超聲霧化吸入和加溫生理鹽水鼻腔遲洗治療，1~2次/d，療程3箇月。比較兩組患者鼻總體主觀癥狀改善與創麵恢複情況。結果：兩組患者鼻總體主觀癥狀都得到較好的改善。試驗組治療前鼻部總體癥狀評分VAS評分為（8.26±0.67）分，經過超聲霧化吸入治療3月後下降為（2.87±0.43）分，前後比較差異有統計學意義（t＝33.85，P<0.05）；對照組治療前鼻部總體癥狀評分VAS評分為（8.23±0.54）分，經過鼻腔遲洗治療3月後下降為（4.03±0.62）分，治療前後比較差異有統計學意義（ t＝24.05，P<0.05），總體主觀癥狀改善不如試驗組明顯。鼻內鏡和鼻竇CT療效判定：試驗組總有效率92.3（72/78），對照組總有效率77.2（51/66），組間資料比較差異有統計學意義（χ2值＝9.26，P<0.05）。結論：採用傢用超聲霧化器霧化吸入療法較好地協助鼻-鼻竇炎術後鼻部治療，可安全有效改善患者鼻部主客觀癥狀和促進創麵功能恢複，改善生活質量，療效可靠，也可作為慢性鼻-鼻竇炎術後治療的一種常規途徑和選擇。
목적：탐토만성비-비두염공능성비내경수술후응용가용초성무화기대비부무화흡입치료적방법화림상료효。방법：수궤추취행비내경수술적비-비두염환자144례，수궤분위시험조（78례）화대조조（66례），술후분별채용초성무화흡입화가온생리염수비강충세치료，1~2차/d，료정3개월。비교량조환자비총체주관증상개선여창면회복정황。결과：량조환자비총체주관증상도득도교호적개선。시험조치료전비부총체증상평분VAS평분위（8.26±0.67）분，경과초성무화흡입치료3월후하강위（2.87±0.43）분，전후비교차이유통계학의의（t＝33.85，P<0.05）；대조조치료전비부총체증상평분VAS평분위（8.23±0.54）분，경과비강충세치료3월후하강위（4.03±0.62）분，치료전후비교차이유통계학의의（ t＝24.05，P<0.05），총체주관증상개선불여시험조명현。비내경화비두CT료효판정：시험조총유효솔92.3（72/78），대조조총유효솔77.2（51/66），조간자료비교차이유통계학의의（χ2치＝9.26，P<0.05）。결론：채용가용초성무화기무화흡입요법교호지협조비-비두염술후비부치료，가안전유효개선환자비부주객관증상화촉진창면공능회복，개선생활질량，료효가고，야가작위만성비-비두염술후치료적일충상규도경화선택。
Objective To explore the method and curative effect of household ultrasonically inhalation therapy of patients after chronic rhinosinusitis nasosinusitis functional endoscopic sinus operation. Method 144 patients were taken out randomly with sinusitis underwent endoscopic surgery. Patients were divided into two groups at random,78 patients were treated by household ultrasonically inhalation,66 pa-tients treated by nasal irrigation with warm saline water as a control group,both therapy 1 ~2 times/d. The course of treatment was 3 months. Comparing with symptoms improved and wound healing. Results Subjective symptoms improved in both groups according Visual Analogue Scale( VAS). After 3 months of treatment,the VAS of experimental group decreased from( 8. 26 ± 0. 67 )points to( 2. 87 ± 0. 43)points,with statistical significance(t=33. 85,P<0. 05),and the VAS of control group decreased from(8. 23 ± 0. 54)points to (4. 03 ± 0. 62)points,with statistical significance(t=24. 05,P<0. 05),Overall improvement of subjective symptoms in the experimental group was significantly better than that in the control group. Efficacy evaluation of nasal endoscopy and CT examination. The total effective rate was 92. 3% in the experimental group,which were higher than the control group(77. 2%),with statistical significance(χ2 =9. 26,P<0. 05). Conclusion After sinusitis surgery,household ultrasonically inhalation therapy could improve symptoms and promote wound heal-ing. It could be one conventional treatment method after chronic nasosinusitis functional endoscopic sinus operation.
