中药鼻腔灌洗对非侵袭性真菌性鼻窦炎术后的临床疗效 |
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引用本文: | 周昕,赵颜俐,刘学良,雷刚.中药鼻腔灌洗对非侵袭性真菌性鼻窦炎术后的临床疗效[J].中国微生态学杂志,2017,29(1). |
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作者姓名: | 周昕 赵颜俐 刘学良 雷刚 |
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作者单位: | 重庆市中医院,重庆市中医院,重庆市中医院,重庆市中医院 |
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摘 要: | 目的 观察非侵袭性真菌性鼻窦炎术后使用中药鼻腔灌洗治疗的临床疗效。方法 将确诊为非侵袭性真菌性鼻窦炎患者90例随机分为三组,分别是对照组、西药组、中药组,每组各30例,鼻内窥镜术后分别给予生理盐水、5%碳酸氢钠溶液、中药制剂灌洗治疗,观察各组间术腔清洁时间、术腔上皮化时间,视觉模拟量表评分及Lund-Kennedy评分以及术后复发率。结果 三组间术腔清洁时间差异无统计学意义(P>0.05),中药组上皮化时间明显缩短(P<0.05),西药组和中药组术后视觉模拟量表评分和Lund-Kennedy评分明显低于对照组(P<0.05),各组术后6个月复发率差异有统计学意义(P<0.05)。结论 非侵袭性真菌性鼻窦炎术后中药鼻腔灌洗能促进术腔上皮化形成,降低复发率,值得推广。
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关 键 词: | 中药 非侵袭性真菌性鼻窦炎 鼻内窥镜手术 鼻腔灌洗 疗效 |
Effect of nasal irrigation with Chinese medicine on postoperative patients with non-invasive fungal rhino-sinusitis |
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Abstract: | Objective To observe the clinical efficacy of nasal irrigation with Chinese medicine on postoperative patients with non-invasive fungal rhino-sinusitis. Methods 90 cases of non-invasive fungal rhino-sinusitis after nasal endoscopic surgery were randomly divided into the control group, western medicine group or Chinese medicine group (n=30), and were given nasal irrigation with normal saline, 5% sodium bicarbonate solution or Chinese medicine respectively after endoscopic sinus surgery. Then the time to cleaning and epithelialization, visal anglog scale (VAS), Lund-Kennedy score and reccurrence rate in the three groups were observed. Results There was no significant difference in the time to cleaning among the three groups (P>0.05). The time to epithelialization in Chinese medicine group was obviously shorter than that in the other two groups (P<0.05). The VAS and Lund-Kennedy score in control group were obviously higher than those in the other groups (P<0.05). The reccurrence rate in Chinese medicine group was significantly lower than those in the other groups (P<0.05). Conclusion Nasal irrigation with Chinese medicine after nasal endoscopic surgery can impove the clinical efficacy and reduce the recurrence rate. |
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Keywords: | Chinese medicine Non-invasive fungal rhino-sinusitis Endoscopic sinus surgery Nasal irrigation Clinical effect |
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