不同的鼻腔冲洗方法在鼻内镜术后应用的疗效比较  

Comparison of the efficacy of different nasal irrigation methods after nasal endoscopy

作　　者：郭茹 何桂军[1] GUO Ru;HE Guijun(Department of Otolaryngology,the Second People’s Hospital of Lianyungang,Lianyungang 222000,Jiangsu,China)

机构地区：[1]连云港市第二人民医院耳鼻咽喉科,江苏连云港222000

出　　处：《中国现代医生》2025年第7期50-53,共4页China Modern Doctor

摘　　要：目的探讨功能性鼻内镜鼻窦手术(functional endoscopic sinus surgery,FESS)后不同鼻腔冲洗方法的术腔愈合效果。方法选取2020年10月至2022年1月于连云港市第二人民医院手术治疗的106例鼻窦炎患者为研究对象,所有患者均行FESS治疗,根据术后不同的鼻腔冲洗方法将其分为A组(37例)、B组(38例)和C组(31例)。A组患者给予生理盐水+地塞米松冲洗术腔,B组患者给予鼻腔清洗器冲洗术腔,C组患者给予生理盐水冲洗术腔。术后随诊6个月,观察并记录三组患者的临床效果及Lund-Kennedy评分。结果术后6个月,三组患者的有效率比较差异有统计学意义(χ^(2)=7.855,P=0.020),A组患者的有效率显著高于C组(P<0.05);术后6个月,三组患者的Lund-Kennedy评分均显著低于本组治疗前(P<0.01),三组患者的Lund-Kennedy评分比较差异均有统计学意义(P<0.05),且A组<B组<C组。结论鼻窦手术后冲洗术腔可减轻黏膜炎症反应,促进水肿消退及分泌物排出,地塞米松可加速鼻腔及鼻窦的创面上皮化,提高临床疗效。Objective To explore the curative effect of different nasal irrigation methods on healing of operative cavity after functional endoscopic sinus surgery(FESS).Methods A total of 106 patients with sinusitis who underwent surgery in the Second People’s Hospital of Lianyungang from October 2020 to January 2022 were selected as study objects.All patients were treated with FESS and were divided into group A(37 cases),group B(38 cases)and group C(31 cases)according to different postoperative nasal irrigation methods.Group A was given physiological saline+dexamethasone to irrigate the operative cavity,group B was given nasal washer to irrigate the operative cavity,and group C were given physiological saline to irrigate the operative cavity.Follow up 6 months after surgery,clinical efficacy and Lund-Kennedy score of three groups were observed and recorded.Results Six months after surgery,there was statistically significant difference in effective rate among three groups(χ^(2)=7.855,P=0.020).The effective rate of group A was significantly higher than that of group C(P<0.05).Six months after surgery,the Lund-Kennedy score in three groups was significantly lower than before treatment(P<0.05).There were significant differences in Lund-Kennedy scores among three groups(P<0.05),and group A<group B<group C.Conclusion Irrigating operative cavity after nasal surgery can reduce mucosal inflammation,promote the regression of edema and discharge of secretions,dexamethasone can accelerate the epithelialization of the nasal cavity and sinus wounds,and improve clinical efficacy.

关 键 词：慢性鼻窦炎 地塞米松 鼻腔清洗器 鼻腔冲洗 生理盐水 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]