慢性鼻窦炎术后鼻腔盐水冲洗的方案选择与疗效评价  

Selection and efficacy evaluation of nasal saline irrigation for postoperative chronic sinusitis

作　　者：刘俊 彭韶平 LIU Jun;PENG Shao-ping(The First Clinical Medical School of Gannan Medical University,Ganzhou,Jiangxi 341000;Teaching and Research Department of Otolaryngology Head and Neck Surgery,The First Affiliated Hospital of Gannan Medical University,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医科大学第一临床医学院,江西赣州341000 [2]赣南医科大学第一附属医院耳鼻咽喉头颈外科教研室,江西赣州341000

出　　处：《赣南医学院学报》2024年第8期856-860,共5页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：慢性鼻窦炎(Chronic rhinosinusitis,CRS)是一种鼻窦黏膜慢性炎性疾病,其病因及病理机制较为复杂。目前,鼻内镜手术已成为慢性鼻窦炎临床上首选的外科治疗手段,但术后鼻腔和鼻窦黏膜仍处于炎症环境中,若处理不当会影响手术疗效。临床研究证实,鼻腔冲洗作为慢性鼻窦炎的有效治疗方案之一,其疗效已得到认可,并被广泛用作慢性鼻窦炎术后的局部治疗。目前,临床上对于冲洗液的选择更倾向于盐水,主要考虑盐水更符合鼻腔鼻黏膜生理要求,且不对黏膜产生刺激。本文主要围绕慢性鼻窦炎术后鼻腔盐水冲洗的方案选择与疗效评价进行综述,为鼻腔盐水冲洗临床应用提供参考。Chronic rhinosinusitis(CRS)is a chronic inflammatory disease of the nasal sinus mucosa,with a complex etiology and pathological mechanism.At present,endoscopic sinus surgery has become the preferred surgical treatment for chronic sinusitis in clinical practice.However,the nasal cavity and sinus mucosa are still in an inflammatory environment after surgery.Improper handling can affect the surgical efficacy.Clinical studies have confirmed that nasal irrigation is one of the effective treatment options for chronic sinusitis,and its efficacy has been recognized and widely used as a local treatment for postoperative chronic sinusitis.At present,in clinical practice,the choice of flushing solution is more inclined towards saline,mainly considering that saline is more in line with the physiological requirements of the nasal cavity and nasal mucosa,and does not cause irritation to the mucosa.This article mainly reviews the selection and efficacy evaluation of postoperative nasal saline irrigation for chronic sinusitis,providing reference for the clinical application of nasal saline irrigation.

关 键 词：鼻腔盐水冲洗 慢性鼻窦炎 术后 冲洗方案 疗效评价 

分 类 号：R765.41[医药卫生—耳鼻咽喉科]