鼻内激素联合鼻腔冲洗在儿童慢性鼻-鼻窦炎治疗中的疗效观察  

Efficacy of nasal hormone combined with nasal irrigation on chronic rhinosinusitis in children

作　　者：张志雄[1] 叶远航[1] 李世嵘[1] 

机构地区：[1]广东省梅州市人民医院耳鼻喉一科,梅州514031

出　　处：《临床医学》2015年第4期55-56,共2页Clinical Medicine

摘　　要：目的观察鼻内激素联合鼻腔冲洗在儿童慢性鼻-鼻窦炎治疗的疗效。方法选取2009年10月至2012年10月收治的慢性鼻-鼻窦炎80例,随机分为两组,每组40例。试验组患儿采用鼻内激素联合鼻腔冲洗治疗,对照组患儿采用单纯的常规鼻内激素治疗,不行鼻腔冲洗。比较两组患儿用药1个月后的临床疗效和症状缓解时间。结果试验组患儿治疗后总有效率(95.0%)明显高于对照组(60%),且其鼻塞、流鼻涕、头晕、头痛等症状缓解时间也明显优于对照组,差异有统计学意义(P<0.05)。结论鼻内激素联合鼻腔冲洗相较于常规鼻内激素治疗儿童慢性鼻-鼻窦炎效果明显,其临床症状缓解时间良好,不良反应少,有一定的临床优势,值得推广使用。Objective To observe the efficacy of nasal hormone combined with nasal irrigation on chronic rhinosinusitis in children. Methods Eighty cases of chronic rhinosinusitis from October 2009 to October 2012 were selected as clinical research objects. All patients were randomly divided into two groups,with 40 cases in each group. The children in experimental group were treated by nasal hormone combined wtih nasal irrigation,and the children in control group adopted conventional nasal hormone treatment merely. The clinical efficacy and symptom alleviating time of two groups children after one month was compared.Results The total effective rate of treatment group（ 95. 0%） was significantly higher than that of the control group（ 60%）. After treatment,the symptom alleviating time of anti-diarrhea,anti-nausea,defervescence and dehydration of experimental group were superior to the control group,and the differences were significant（ P〈0. 05）. Conclusion Nasal hormone combined with nasal irrigation has better efficacy compared with conventional nasal hormone therapy in the treatment of chronic rhinosinusitis in children,which were with well clinical symptom alleviating time and fewer adverse reactions have certain clinical advantages,so it is worth to be promoted.

关 键 词：鼻内激素 鼻腔冲洗 儿童 慢性鼻-鼻窦炎 

分 类 号：R765.41[医药卫生—耳鼻咽喉科]