3%氯化钠溶液和0.9%氯化钠溶液鼻腔冲洗治疗慢性鼻窦炎患者的临床疗效  

Clinical effect of nasal irrigation with 3%sodium chloride solution and 0.9%sodium chloride solution in the treatment of chronic sinusitis

作　　者：钱坤 范彬彬 王郁 QIAN Kun;FAN Binbin;WANG Yu(Department of Otolaryngology,Fuxin General Hospital of Liaoning Health Industry Group,Fuxin,Liaoning,123000,China)

机构地区：[1]辽宁省健康产业集团阜新矿总医院耳鼻喉科,辽宁阜新123000

出　　处：《当代医学》2023年第7期79-82,共4页Contemporary Medicine

摘　　要：目的探讨3%氯化钠溶液与0.9%氯化钠溶液鼻腔冲洗治疗慢性鼻窦炎患者的临床疗效。方法选取2020年9月至2021年9月本院收治的100例慢性鼻窦炎患者作为研究对象,采用随机数字表法分为常规组与研究组,每组50例。常规组给予0.9%氯化钠溶液冲洗鼻腔,研究组给予3%氯化钠溶液冲洗鼻腔。比较两组临床疗效、鼻腔纤毛传输速度、临床症状评分、视觉模拟评分法(VAS)评分、鼻内镜评分、生命质量及不良反应。结果研究组治疗总有效率高于常规组,差异有统计学意义(P<0.05);研究组鼻腔纤毛传输速度明显快于常规组,差异有统计学意义(P<0.05);治疗后,两组临床症状评分、VAS评分、鼻内镜评分均明显低于治疗前,且研究组低于常规组,差异有统计学意义(P<0.05);治疗后,两组躯体功能、社会功能、心理功能、物质生活评分均高于治疗前,且研究组高于常规组,差异有统计学意义(P<0.05);两组不良反应发生率比较差异无统计学意义。结论3%氯化钠溶液鼻腔冲洗治疗慢性鼻窦炎患者疗效显著,能明显加快鼻腔纤毛传输速度,促使鼻腔黏膜上皮化,减轻患者临床症状,改善患者生命质量,值得临床推广应用。Objective To investigate the clinical efficacy of nasal irrigation with 3%sodium chloride solution and 0.9%sodium chloride solution in the treatment of chronic sinusitis.Methods 100 patients with chronic sinusitis who were treated in our hospital from September 2020 to September 2021 were selected as research subjects,and they were divided into the routine group and the study group according to random number table method,with 50 cases in each group.The routine group was given 0.9%sodium chloride solution to wash the nasal cavity,while the study group was given 3%sodium chloride solution to wash the nasal cavity,the clinical efficacy,nasal ciliary transmission velocity,clinical symptom scores,visual analogue scale(VAS)scores,nasal endoscopy scores,quality of life and the incidence of adverse reactions were compared between two groups.Results The total effective rate of treatment in the study group was higher than that in the routine group,the difference was statistically significant(P<0.05);the nasal cilia transport speed in the study group was significantly faster than that in the routine group,the difference was statistically significant(P<0.05);after treatment,the clinical symptom score,VAS score and nasal endoscopy score in two groups were significantly lower than those before treatmentin,and the study group were lower than those in the routine group,the differences were statistically significant(P<0.05);after treatment,the scores of physical function,social function,psychological function and material life in two groups were higher than those before treatment,and the study group were higher than those in routine group,the differences were statistically significant(P<0.05);there was no statistically significant difference in adverse reactions between the two groups.Conclusion Nasal irrigation with 3%sodium chloride solution is effective in treatment of chronic sinusitis,which can significantly accelerate the nasal cilia transport speed,promote nasal mucosal epithelization,alleviate symptoms,and improve the qua

关 键 词：慢性鼻窦炎 3%氯化钠溶液 0.9%氯化钠溶液 鼻腔冲洗 临床疗效 

分 类 号：R472[医药卫生—护理学]