摘要
目的总结分析鼻息肉采取鼻内镜联合局部应用曲安奈德鼻喷雾剂的临床效果以及对手术复发率、并发症的影响,为以后的工作提供临床依据。方法选取2011年5月—2014年4月在四川省广元市中心医院接收的鼻息肉患者126例,全部符合鼻息肉的临床诊断标准,随机分为观察组、对照组,每组各63例,对照组对患者采取常规鼻内镜手术治疗,采取Messerk-linger手术方式进行治疗,观察组对患者采取鼻内镜手术联合局部应用曲安奈德鼻喷雾剂,手术之前7天和手术3天之后使用,每天一次,每次各个鼻孔两揿,每天总剂量不可超过两揿,持续用药治疗6个月。2组患者的手术中出血量、并发症、总有效率以及复发率给予详细记录和对比分析。结果观察组患者的总有效率明显要比对照组高(P<0.05);观察组患者手术当中出血量明显要比对照组低(P<0.05);观察组并发症发生率明显要比对照组低(P<0.05);观察组患者的手术复发率明显要比对照组低(P<0.05)。结论鼻息肉采取鼻内镜联合局部应用曲安奈德鼻喷雾剂治疗,可以取得令人满意的治疗效果,可有效降低术中出血量,可以使复发率降低,并发症发生率相对较低,使患者健康及生活质量明显提高。
Objective To study the clinical effect and recurrence rate observation of treating nasal polyp patients with nasal endoscope combining triamcinolone nasal spray to provide evidence in future. Methods A total of 126 cases of nasal polyp patients from May. 2011 to Apr. 2014 were chosen and divided into study group and controlled group with 63 cases in each group. The controlled group was treated with routine nasal endoscope only with Messerk-linger method,the study group was treated with triamcinolone nasal spray based on nasal endoscope with 6 months with less than 2 press. The clinical effect and recurrence rate of these two groups were compared. Results The clinical effect of study group was better than controlled group（ P 〈0. 05）,the bleeding amount of study group was less than controlled group（ P 〈0. 05）. The recurrence rate of study group was lower than controlled group（ P 〈0. 05）. Conclusion Treating nasal polyp patients with nasal endoscope combining triamcinolone nasal spray can improve clinical effect and decrease recurrence rate to extend in clinic.
出处
《中华全科医学》
2015年第8期1266-1267,1282,共3页
Chinese Journal of General Practice
关键词
鼻息肉
鼻内镜
曲安奈德鼻喷雾剂
复发率
Nasal polyp
Nasal endoscope
Triamcinolone nasal spray
Recurrence rate
