鼻内镜下鼻腔多结构矫形术联用类固醇鼻喷剂治疗变应性鼻炎临床观察  

Clinical observation on treatment of allergic rhinitis using endoscoPic more nasal structuresorthopedic surgery combined with steroid nasal spray

作　　者：阮奕劲[1] 曾薇[2] 朱怀文[1] 薛远琼[1] 肖富新[1] 蔡卓[1] 

机构地区：[1]广东医学院附属陈星海医院耳鼻咽喉科,广东中山528415 [2]广东省中山市人民医院耳鼻咽喉科

出　　处：《中国医师进修杂志》2011年第15期16-18,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨鼻内镜下鼻腔多结构矫形术联用类固醇鼻喷剂治疗变应性鼻炎的临床疗效.方法 将60例存在鼻中隔偏曲及中、下鼻甲病变的变应性鼻炎患者按随机数字表法分为两组：观察组30例,应用鼻内镜行鼻腔多结构矫形术及围手术期予类固醇鼻喷剂局部用药;对照组30例,只用类固醇鼻喷剂局部用药.将两组远期疗效进行对比.结果 随访1年,观察组总有效率为90.0%（27/30）,其中显效22例;对照组为36.7%（11/30）,其中显效3例.两组总有效率比较差异有统计学意义（P＜0.01）.结论 经鼻内镜下行鼻腔多结构矫形术联用类固醇鼻喷剂治疗变应性鼻炎具有良好的远期疗效.Objective To expore the clinical therapeutic effect of allergic rhinitis using endoscopic more nasal structures orthopedic surgery combined with steroid nasal spray. Methods Sixty allergic rhinitis patients accompanied by deviation of nasal septum, middle turbinate lesions, or/and inferior turbinate lesions, were divided into two groups： observation group with 30 cases, applying endoscopic more nasal structures orthopedic surgery combined with steroid nasal spray （mometasone furoate nasal spray） during perioperative period; control group with 30 patients, only applying steroid nasal spray （mometasone furoate nasal spray）. Long-term effect was compared between two groups. Results Sixty cases were followed up for 1 year. The total effective rate was 90.0%（27/30） in observation group,22 cases of significant effect, 36.7% （11/30） in control group,3 cases of significant effect. The total effective rate had significant difference between two groups （P〈0.01）. Conclusion Using endoscopic more nasal structures orthopedic surgery combined with steroid nasal spray （mometasone furoate nasal spray） to treat allergic rhinitis has good long-term effect.

关 键 词：鼻炎 变应性 内镜术 鼻用皮质类固醇激素 鼻喷剂 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]