鼻内镜术后中药鼻腔雾化吸入辅佐治疗慢性鼻-鼻窦炎的主客观评估  

Subjective and objective assessment on chronic rhinosinusitis following adjuvant therapy of nasal inhalation with Chinese medicine after endoscopic sinus surgery

作　　者：张弢[1] 张治军[1] 蒋梦穗[1] 袁波[1] 李春芳[1] 

机构地区：[1]上海中医药大学附属曙光医院耳鼻喉科,上海201203

出　　处：《山东大学耳鼻喉眼学报》2011年第6期70-73,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：上海中医药大学附属曙光医院科学技术发展基金资助项目

摘　　要：目的评价慢性鼻-鼻窦炎(chronic rhinosinusitis,CRS)患者在鼻内镜术(endoscopic sinus surgery,ESS)后用中药进行鼻腔超声雾化吸入辅佐治疗的疗效。方法 63例CRS患者随机分为治疗组(33例)和对照组(30例),ESS术后第3天行鼻腔超声雾化吸入。治疗组雾化用药为鼻窦炎口服液,每天早晚各1次,每次8 mL,连续5 d,后改为每周1次,连续3个月。对照组使用生理盐水鼻腔雾化吸入,方法相同。雾化前(术后第2天)、雾化5 d和3个月后分别采用视觉模拟量表、Lund-Kennedy评分系统、Lund-Mackay评分法进行相关评估。结果通过对主观症状、鼻内镜及鼻窦CT扫描进行检查评估,治疗组与对照组在雾化前后及组间比较差异均有统计学意义。结论 CRS患者ESS术后中药雾化吸入能明显提高手术疗效。Objective To evaluate the efficacy of nasal inhalation with Chinese medicine in chronic rhinosinusitis （CRS） after endoscopic sinus surgery （ESS）. Methods 63 cases of CRS were randomly divided into the treatment group （33 cases ） and the control group （30 cases ）, and all had nasal inhalation following endoscopic sinus surgery （ESS）. Bidouyan-oral was used for the treatment group, twice a day, at 8 mL, for five consecutive days, and then changed to once a week for 3 months. The control group used saline nasal inhalation, in the same way. Before inhala- tion, 5 days and 3 months later, the two groups were assessed in visual analogue scale, Lund-Kennedy score system and Lund-Mackay score system. Results On subjective symptoms, nasal endoscopy and sinus CT scan to check assess- ment, the difference between the treatment and control groups were significant. Before and after the spray the difference was also significant in each groups. Conclusion CRS patients after ESS for adjuvant use of traditional Chinese medi- cine treatment of inhalation, can significantly improve the surgical effect.

关 键 词：中药 雾化吸入 鼻内镜外科手术 鼻-鼻窦炎 慢性 

分 类 号：R765.24[医药卫生—耳鼻咽喉科] R987[医药卫生—临床医学]