摘要
目的研究经口鼻超声雾化后鼻腔冲洗浓度和时机对慢性鼻窦炎术后鼻通气功能和临床疗效的影响。方法选取2020年3月至2021年11月萍乡市人民医院收治的80例慢性鼻窦炎患者作为研究对象进行回顾性分析,根据治疗浓度和时机的不同将其分为A、B、C、D四组,每组各20例。A组患者在雾化吸入后10 min时采用0.9%盐水进行冲洗,B组患者在雾化吸入后10 min时采用2.5%盐水冲洗,C组患者在雾化吸入后30 min时采用0.9%盐水冲洗,D组患者在雾化吸入30 min时采用2.5%盐水冲洗。比较四组患者的临床疗效、住院指标、鼻腔通气功能及并发症总发生率。结果B组患者的临床总有效率高于A、C、D组,差异有统计学意义(P<0.008)。B组患者的住院时间、呼吸改善时间短于A、C、D组,住院费用低于A、C、D组,差异有统计学意义(P<0.05)。B组患者干预后的鼻腔总阻力值(RT)、鼻阻力差异比值(Rlr)低于A、C、D组,差异有统计学意义(P<0.05)。B组患者的并发症总发生率低于A、C、D组,差异有统计学意义(P<0.008)。结论经口鼻超声雾化后10 min采用2.5%盐水进行鼻腔冲洗,更有利于慢性鼻窦炎患者术后鼻通气功能的改善及临床疗效的提高。
Objective To study the influence of nasal irrigation concentration and timing after ultrasonic atomization through nose and mouth on nasal ventilation function and clinical curative effect after chronic sinusitis operation.Methods A total of 80 patients with chronic sinusitis from Pingxiang People′s Hospital from March,2020 to November,2021 were selected as subjects for retrospective analysis.They were divided into four groups,A,B,C and D according to the treatment concentration and timing,with 20 patients in each group.Group A was rinsed with 0.9%saline 10 min after atomization inhalation,group B was rinsed with 2.5%saline 10 min after atomization inhalation,group C was rinsed with 0.9%saline 30 min after atomization inhalation,and group D was rinsed with 2.5%saline 30 min after atomization inhalation.The clinical efficacy,hospitalization indexes,nasal ventilation function and total incidence of complications were compared among the four groups.Results The total effective rate of group B was higher than that of groups A,C and D,and the difference was statistically significant(P<0.008).The hospitalization time and respiratory improvement time of group B were shorter than those of groups A,C and D,and the hospitalization expense of group B was lower than that of groups A,C and D,with statistically significant differences(P<0.05).After intervention,the total nasal resistance(RT)and nasal resistance difference ratio(Rlr)in group B were lower than those in groups A,C and D,and the differences were statistically significant(P<0.05).The total incidence of complications in group B was lower than that in groups A,C and D,and the difference was statistically significant(P<0.008).Conclusion Nasal irrigation with 2.5%saline 10 min after ultrasonic atomization through nose and mouth is more beneficial to the improvement of nasal ventilation function and clinical efficacy in patients with chronic sinusitis.
作者
戴锋
谢佐君
杨启明
钟庄龙
DAI Feng;XIE Zuojun;YANG Qiming;ZHONG Zhuanglong(Otolaryngology Head and Neck Surgery,Pingxiang People′s Hospital,Jiangxi Province,Pingxiang 337000,China)
出处
《中国当代医药》
CAS
2022年第20期113-117,共5页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202212202)。
关键词
经口鼻超声雾化
鼻腔冲洗
鼻窦炎
鼻通气功能
Ultrasonic atomization through nose and mouth
Nasal irrigation
Nasosinusitis
Nasal ventilation function
