鼻内镜下鼻窦开放联合下鼻甲骨折外移治疗在慢性鼻窦炎患者中的应用研究  

Application of Nasal Endoscopic Sinus Opening Combined with Inferior Turbinate Fracture Transfer in Patients with Chronic Rhinosinusitis

作　　者：樊磊 王毅 沈志伟 FAN Lei;WANG Yi;SHEN Zhiwei(Suzhou Yongding Hospital,Suzhou 215299,China;不详)

机构地区：[1]苏州永鼎医院,江苏苏州215299

出　　处：《中外医学研究》2024年第33期92-95,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究鼻内镜下鼻窦开放联合下鼻甲骨折外移治疗慢性鼻窦炎(CRS)的临床效果。方法:选取2022年1月—2024年1月苏州永鼎医院收治的100例CRS患者作为研究对象,随机分为试验组和对照组,每组各50例。试验组采取鼻内镜下鼻窦开放联合下鼻甲骨折外移术,对照组采用鼻内镜鼻窦开放手术。比较两组临床疗效、治疗前后睡眠质量评分、症状评分、鼻内镜评分和鼻气道阻力变化。结果:试验组治疗有效率高于对照组,差异有统计学意义(P<0.05)。术后,试验组睡眠质量评分低于对照组,差异有统计学意义(P<0.05)。术后3个月,试验组鼻塞、鼻漏、头面部疼痛症状评分均低于对照组,差异有统计学意义(P<0.05)。术后3个月,试验组鼻内镜评分和鼻气道阻力均低于对照组,差异有统计学意义(P<0.05)。结论:鼻内镜下鼻窦开放联合下鼻甲骨折外移治疗CRS,患者术后炎症反应明显减轻,睡眠质量良好,康复效果明显。Objective:To investigate the clinical efficacy of patients with chronic rhinosinusitis(CRS)treated with endoscopic sinus surgery combined with external displacement of inferior turbinate fractures.Method:100 patients with CRS admitted to Suzhou Yongding Hospital from January 2022 to January 2024 were selected as the study objects and randomly divided into experimental group and control group,with 50 cases in each group.The experimental group underwent endoscopic sinus opening combined with inferior turbinate fracture displacement surgery,while the control group underwent endoscopic sinus opening surgery.The clinical efficacy,sleep quality score,symptom score,nasal endoscopy score and nasal airway resistance were compared between the two groups before and after treatment.Result:The treatment effective rate of experimental group was higher than that of control group,and the difference was statistically significant(P<0.05).The sleep quality score of experimental group was lower than that of control group after operation,and the difference was statistically significant(P<0.05).3 months after operation,the scores of nasal congestion,rhinorrhea and head and face pain in experimental groups were lower than those in control group,and the differences were statistically significant(P<0.05).3 months after operation,nasal endoscopy score and nasal airway resistance of experimental group were lower than those of control group,and the differences were statistically significant(P<0.05).Conclusion:Endoscopic sinus opening combined with inferior turbinate fracture displacement is effective in the treatment of CRS.Postoperative inflammatory response is significantly reduced,sleep quality is good,and rehabilitation effect is obvious.

关 键 词：鼻内镜手术 康复效果 慢性鼻窦炎 睡眠质量 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]