鼻内镜术后术腔清理频率对鼻腔疾病疗效的影响  

Influence of clean - up frequency of operative cavity on the clinical effect after endoscopic sinus surgery

作　　者：杨波[1] 

机构地区：[1]佛山市第二人民医院耳鼻喉科,广东省佛山528000

出　　处：《中国基层医药》2013年第13期1973-1974,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨鼻内镜术后术腔清理频率对疗效的影响。方法选取鼻内镜手术治疗的鼻窦炎、鼻息肉等鼻腔疾病患者368例，按随机数字表法分为观察组与对照组，每组184例。观察组给予适度清理频率的术后术腔清理，对照组患者给予较为密集的术后术腔清理，观察鼻内镜术后术腔清理频率对疗效的影响。结果观察组治疗的显效率为80．98％，明显高于对照组的69．02％（x2=12．468，P〈0．05），观察组治疗的无效率为2．17％，明显低于对照组的9．78％（X2=15．717，P〈0．05），观察组术后的复发率为11．96％，明显低于对照组的26．09％（X2=9．361，P〈0．05）。结论鼻内镜术后术腔清理频率对疗效影响显著，适度的鼻内镜术后术腔清理频率能显著增强治疗效果。Objective To discuss the influence of clean-up frequency of the operative cavity on the curative effect after endoscopic sinus surgery. Methods 368 patients with sinusitis or nasal polyps were randomly divided into observation group and control group, 184 patients in each group. Control group was treated with operative cavity clean- ing in moderate frequency, while observation group in intensive frequency. Results The obvious effective rate of ob- servation group was 80.98% ,which was significantly higher than that of control group（69.02% ） （ X2 = 12. 468, P 〈 0.05 ）. The ineffective rate of observation group was 2.17% ,which was significantly lower than that of control group （9.78%） （X2 = 15. 717,P 〈 0.05）. The recurrence rate of observation group was 11.96% , which was significantly lower than that of control group （ 26.09% ） （ X2 = 9. 361, P 〈 0.05 ）. Conclusion The clean-up frequency of the operative cavity after endoscopic sinus surgery can influence curative effect, moderate clean-up frequency can significantly improve the treatment effects and deserved promotion.

关 键 词：鼻窦炎 鼻息肉 内窥镜检查 手术后医护 

分 类 号：R765[医药卫生—耳鼻咽喉科]