鼻后滴漏综合征100例临床分析  

Analysis the causes and treatment of postnasal drip syndrome

作　　者：刘海龙 孙长春[2] 韩亚坤 尚国球 

机构地区：[1]辛集复明医院耳鼻咽喉科,河北辛集052360 [2]河北医科大学第一医院变态反应科

出　　处：《临床耳鼻咽喉头颈外科杂志》2008年第2期68-69,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:分析鼻后滴漏综合征(PNDs)的常见病因,探讨相应治疗方法。方法:对100例PNDs患者行耳鼻咽喉常规检查、鼻内镜或纤维鼻咽镜检查及鼻窦CT扫描,同时根据症状和体征选择做变应原检查、鼻咽侧位X线片等。根据检查出的相关病因,进行中药洗液鼻腔冲洗,敏感抗生素和激素雾化吸入,局部应用糖皮质激素类喷雾剂、口服改善黏膜纤毛功能药物、特异性变应原免疫治疗、手术等相应治疗。结果:100例PNDs患者中,慢性鼻炎22例(22%),慢性鼻窦炎和(或)鼻息肉31例(31%),变应性鼻炎28例(28%),腺样体肥大16例(16%),慢性鼻咽炎3例(3%)。根据检查出的相关病因,进行相应治疗,随访6个月,总有效率达82%。结论:PNDs的病因复杂多样,一定要查清病因,采取相应治疗方法,才能获得满意疗效。Objective：To analysis the causes and treatment for postnasal drip syndrome. Method：One hundred patients were tested by routine examination of otolaryngology, nasal endoscopy, fiberoptic laryngoscopy and nasal sinuses CT. Choice allergen test and nasopharymx X-ray were taken based on the symptoms and sigins. Patients were treated accordingly for different causes, such as flushing the nasal cavity by herbal liqnid, using glucocorticold locally, taking medicine of improving the sticky film cilium function, immunotherapeutic or operation. Result： The causes included chronic rhinitis 22 cases （22 % ）, chronic sinusitis or nasal polyp 31 cases （31% ）, allergic rhinitis 28 cases （28%）, adenoid vegetation 16 cases （16%）, chronic nasopharyngitis 3 cases （3%）. All patients were treated accordingly and total cure rate was 82% after 6 months follow up. Conclusion：The causes of postnasal drip syndrome are complicated. It is critical to check the cause and chose adaptable therapy for good result.

关 键 词：鼻后滴漏综合征 病因学 免疫疗法 

分 类 号：R765[医药卫生—耳鼻咽喉科]