鼻内镜手术联合苍耳子散合银黄连蒲汤治疗非侵袭性真菌性鼻-鼻窦炎的效果  

Effect of nasal endoscopy combined with Cangerzi powder and Yinhuang Lianpu decoction in the treatment of non-invasive fungal rhino-sinusitis

作　　者：刘益建 王军民[1] LIU Yijian;WANG Junmin(Otolaryngology Department,Suqian Zhongwu Hospital,Suqian 223800,China)

机构地区：[1]宿迁市钟吾医院耳鼻喉科,江苏宿迁223800

出　　处：《临床医学研究与实践》2024年第6期124-127,共4页Clinical Research and Practice

摘　　要：目的观察鼻内镜手术联合苍耳子散合银黄连蒲汤治疗非侵袭性真菌性鼻-鼻窦炎(NIFRS)的临床效果。方法将2017年4月至2021年10月收治的40例NIFRS患者作为研究对象,按照随机数字表法将其分为对照组和观察组,每组20例。两组均行鼻内镜手术治疗,观察组术后加苍耳子散合银黄连蒲汤治疗。比较两组的临床疗效、临床症状、客观症状和睡眠质量。结果观察组的治疗总有效率为100.00%,略高于对照组的90.00%,但差异无统计学意义(P>0.05)。术前,两组的视觉模拟量表(VAS)、Lund-Kennedy、Lund-Mackay、匹兹堡睡眠质量表(PSQI)评分比较,差异无统计学意义(P>0.05);术后3个月,两组的VAS、Lund-Kennedy、Lund-Mackay、PSQI评分均显著降低,且观察组显著低于对照组,差异具有统计学意义(P<0.05)。结论鼻内镜手术联合苍耳子散合银黄连蒲汤治疗NIFRS,可在一定程度上提高疗效,更利于改善患者的主客观症状、睡眠质量,值得临床推广应用。Objective To observe the clinical effect of nasal endoscopy combined with Cangerzi powder and Yinhuang Lianpu decoction in the treatment of non-invasive fungal rhino-sinusitis(NIFRS).Methods Forty patients with NIFRS admitted from April 2017 to October 2021 were selected as the research objects.The patients were divided into control group and observation group according to the random number table method,with 20 cases in each group.Both groups were treated with nasal endoscopy,and the observation group was treated with Cangerzi powder and Yinhuang Lianpu decoction after operation.The clinical efficacy,clinical symptoms,objective symptoms and sleep quality of the two groups were compared.Results The total effective rate of treatment in the observation group was 100.00%,which was slightly higher than 90.00%in the control group,but the difference was not statistically significant(P>0.05).Before operation,there were no significant differences in Visual Analogue Scale(VAS),Lund-Kennedy,Lund-Mackay and Pittsburgh Sleep Quality Index(PSQI)scores between the two groups(P>0.05);at 3 months after operation,the VAS,Lund-Kennedy,Lund-Mackay and PSQI scores of the two groups signicantly decreased,those in the observation group were signicantly lower than the control group,and the differences were statistically significant(P<0.05).Conclusion The nasal endoscopy combined with Cangerzi powder and Yinhuang Lianpu decoction in the treatment of NIFRS can improve the curative effect to a certain extent,it is more conducive to improving the subjective and objective symptoms and sleep quality of patients,which is worthy of promotion and application in clinic.

关 键 词：非侵袭性真菌性鼻-鼻窦炎 鼻内镜手术 苍耳子散合银黄连蒲汤 睡眠质量 

分 类 号：R276.1[医药卫生—中医五官科学]