摘要
目的观察鼻渊舒口服液在鼻窦内窥镜手术前后的辅助治疗作用。方法将90例慢性鼻窦炎伴鼻息肉的患者随机分为2组,均给予抗生素、糖皮质激素、止血药物和黏液促排剂,行鼻窦内窥镜手术治疗,术后常规冲洗换药。治疗组45例自术前4d开始口服鼻渊舒口服液至术后10d,并于术后第3d予鼻渊舒口服液雾化吸入治疗1周;对照组45例于术后第3d应用庆大霉素注射液、地塞米松雾化吸入治疗1周。术后6个月复查判定疗效。结果治疗组总有效率95.6%,治愈率64.4%,对照组分别为86.7%、42.2%,2组比较差异均有统计学意义(P<0.05),治疗组疗效优于对照组。结论鼻渊舒口服液在鼻窦内窥镜手术前后口服及术后雾化吸入可巩固和提高疗效,且安全可靠。
Objective To investigate the therapeutic effects of Nasosinusitis Relieving Oral Liquid （NROL） on nasosinusitis administered before and after endoscopic sinus surgery.Methods Ninety cases with chronic sinusitis with nasal polyps were randomly divided into two groups,each group have 45 cases.Patients in two groups were initially treated by antibiotic,intranasal glucocorticoid,haemostatic and mucus discharged drugs,accepted endoscopic sinus surgery,postoperative care for the cavity and usual sinus washing,rechecked until 6 months after operation.Patients in treatment group （n=45） were given NROL from 4 days before surgery to 10 days after it,and they were given local inhaling with NROL in 3 days after surgery for 1 week.Patients in control group （n=45）were given dexamethasone （DXM） and Gentamycin Sulfate injection inhaled through sprayer in 3 days after endoscopic surgery （ESS） on the diseased sinuses.Result The curative and total effective rates were 95.6% and 64.4% for the cases in treating group,86.7% and 42.2% in control group.There was significant difference between two groups （P〈0.05）.Conclusion Combination of ESS and NROL using before and after surgery and inhaling through sprayer following is safe and effective for the treatment of chronic sinusitis,and it can significantly elevate the therapeutic effects for ESS.
出处
《河北中医》
2010年第7期1049-1051,共3页
Hebei Journal of Traditional Chinese Medicine
关键词
鼻窦
鼻窦炎
鼻息肉
内窥镜检查
手术后期间
口服液
慢性病
中药疗法
Sinus paranasales
Nasosinusitis
Nasal polyps
Splanchnoscopy
Postoperative period
Oral liquid
Endoscopic surgery
Chronic disease
