鼻后滴漏综合征56例临床分析  

Clinical analysis for 56 cases of postnasal drip syndrome

作　　者：陈安[1] 赵玉林[1] 王玉婷 

机构地区：[1]郑州大学第一附属医院鼻科,郑州450052

出　　处：《临床耳鼻咽喉头颈外科杂志》2013年第15期847-849,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:分析以咳嗽、鼻涕倒流、咽异物感为主要症状的鼻后滴漏综合征(PNDs)的病因,探讨如何提高该病的诊断率及相应的治疗策略。方法:对56例PNDs患者行功能性鼻内镜手术(FESS),并对其手术前后症状的改善情况进行SNOT-20评分,比较鼻涕倒流和咳嗽症状评分,探讨疾病发生原因和评估术后恢复状况。结果:56例PNDs患者中,慢性鼻-鼻窦炎22例(39.3%),鼻息肉11例(19.6%),鼻中隔偏曲5例(8.9%),腺样体肥大10例(17.9%),真菌性鼻窦炎5例(8.9%),上颌窦出血性息肉2例(3.6%),鼻腔鼻窦肿瘤1例(1.8%)。SNOT-20评分量表评分结果示r术前=0.674(P<0.01),r术后=-0.062 4(P>0.01),即鼻涕倒流与咳嗽症状的评分具有一定相关性;手术前后的鼻涕倒流症状改善得分比较差异有统计学意义(P<0.01),即手术治疗PNDs取得明显效果;咳嗽症状手术前后改善得分差异也有统计学意义(P<0.01)。结论:PNDs患者鼻涕倒流和咳嗽症状的发生密切相关,经FESS术后,上述2种症状明显得以改善。Objective： This paper is aimed to analyse the pathogeny of postnasal drip syndrome including of cough, postnasal drip and pharyngeal foreign body sensation. And explore to the appropriate diagnosis and treatment strategy. Method： The author took 56 cases of PNDs as examples. The 56 cases were switched to FESS. The author frequently visit the 56 patients after treatment for 6 months and did SNOT-20 （the sino-nasal outcome test-20） scale assessment of the symptom improvement in patients before and after the situation. The author also compared the symptom score differences between postnasal drip and cough and explored the disease causes and assess the postoperative recovery status. Result： In patients with 56 cases PNDs, chronic rhinosinusitis in 22 patients （39.3%）, nasal polyps in 11 patients（19.6%）,deviation of nasal septum partial in 5 patients（8.9%）, the adenoids in 10 patients（17.9%）, the fungal sinusitis in 5 patients（8.9 % ）, the maxillary sinus hemorrhagic polyp in 2 cases（3.6%）, the nasal sinai neoplasm in 1 cases（1.8%）. SNOT-20 rating scale result showed：r=0.674（P〈0.01） ,r=0. 062 4（P〈O. 01）,postnasal drip and cough symptoms score with certain relevance. Before and after the operation of score comparison about the ＂postnasal drip＂ symptoms, scoring significant difference（P〈0.01）, namely the surgical treatment had distinct effect. And ＂cough＂ symptoms score before and after operation had a significant difference（P〈0.01 ）. Conclusion： ＂postnasal drip＂ and ＂cough＂ symptoms occur with some relevance. After the FESS the two symptoms are improved significantly.

关 键 词：咳嗽 鼻后滴漏综合征 功能性鼻内镜手术 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]