鹅辛散塞鼻联合中药口服治疗慢性鼻-鼻窦炎的疗效观察  

Clinical effect of exin powder for nose-plugging therapy combined with oral traditional chinese medicine on patients with chronic rhino sinusitis

作　　者：李敏 姚斌峰 金庆江 王鑫 李苏侠 朱晓朴 LI Min;YAO Binfeng;JIN Qingjiang;WANG Xin;LI Suxia;ZHU Xiaopu(Department of otolaryngology,Suzhou Hospital of Traditional Chinese and Western Medicine,Suzhou,Jiangsu Province 215100,China)

机构地区：[1]苏州市中西医结合医院耳鼻咽喉科,215100 [2]苏州市中西医结合医院士材学派传承工作室

出　　处：《中国中西医结合耳鼻咽喉科杂志》2021年第3期215-218,共4页Chinese Journal of Otorhinolaryngology in Integrative Medicine

基　　金：苏州市科技局“科教兴卫”青年科技项目(KJXW2017077)。

摘　　要：目的探讨鹅辛散塞鼻联合中药口服治疗慢性鼻-鼻窦炎患者的临床疗效。方法采用随机数字表法,将我院2018年6月~2019年12月门诊收治的60例肺气虚寒型慢性鼻-鼻窦炎患者分为观察组和对照组,每组各30例,其中观察组采用鹅辛散塞鼻联合中药口服的治疗方法,对照组采用内舒拿喷鼻联合地红霉素口服治疗,疗程均为2周;对比治疗前后两组中医证候评分与疗效,比较两组的主要症状VAS评分。结果观察组总有效率为96.67%,明显高于对照组的86.67%(P<0.05)。观察组患者鼻塞、流涕、头痛、鼻腔充血、鼻甲肥大等中医证候评分较治疗前均有显著下降(P<0.05),且观察组显著低于对照组(P<0.05)。治疗后,两组患者鼻塞、流涕、头痛等症状VAS评分与治疗前相比均有显著下降(P<0.05),同时观察组显著低于对照组(P<0.05)。结论鹅辛散塞鼻联合中药口服能有效改善肺气虚寒型慢性鼻-鼻窦炎患者的症状与体征,临床效果良好。Objective To explore the clinical effect of patients with chronic rhino sinusitis(CRS)treated with Exin powder for nose-plugging therapy combined with Oral Traditional Chinese Medicine.Methods Divided 60 patients with CRS,who admitted to our hospital from June 2018 to December 2019,into treatment group and control group randomly,30 cases were used,the treatment group was treated with Exin powder for nose-plugging therapy combined with oral Traditional Chinese Medicine,and the control group was treated with Nasonex snorted combined with oral Dirithromycin,the course of treatment was 2 weeks.Compared the scores of traditional chinese medicine(TCM)syndromes and clinical effect of patients in both groups,and evaluated the visual analogue scales(VAS)of both groups before and after treatment.Results The total effective rate of the treatment group was 96.67%,which was significantly higher than that of the control group(86.67%),and the difference was statistically significant(P<0.05).Compared with before treatment,the scores of TCM syndromes in treatment group,such as nasal obstruction,nasal discharge,headache,nasal mucosal congestion and nasal thyroid,were significantly decreased(P<0.05),and the scores of TCM syndromes in treatment group were significantly lower than those in control group(P<0.05).After treatment,VAS scores of nasal obstruction,nasal discharge,headache and other symptoms in 2 groups were significantly decreased compared with before treatment(P<0.05),and VAS scores in the treatment group were significantly lower than those in the control group(P<0.05).Conclusion Exin powder for nose-plugging therapy combined with Oral Traditional Chinese Medicine can effectively relieve the symptoms and signs of CRS with syndrome of deficient cold of lung qi patients and has good clinical effect.

关 键 词：鹅辛散 口服中药 慢性鼻-鼻窦炎 肺气虚寒型 临床疗效 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]