芪菊袋泡茶在慢性鼻窦炎伴鼻息肉功能性鼻内镜术后的临床疗效

目的:评估芪菊袋泡茶对功能性鼻内镜术(FESS)术后的临床疗效。方法:采用随机数字表法将纳入观察的FESS术后患者分为两组,对照组为常规处理,治疗组在常规处理的基础上给予芪菊袋泡茶雾化吸入及饮用:术后6h开始予芪菊袋泡茶治疗,以芪菊袋泡茶一袋配30 mL饮用水,作雾化吸入,另予一袋配100 mL饮用水泡服,每天2次,雾化联合饮用共1周。雾化疗程结束后,则以每次2袋,每天2次泡服,再饮用2周,并随访12周。比较两组间鼻窦炎相关症状(包括鼻塞、头痛、面痛、嗅觉障碍、鼻涕)评分、鼻腔粘膜改变和术腔上皮化程度、术后咽喉部症状(包括咽痛、异物感、排痰、咳嗽)评分。结果:术后2、4、8、12周,治疗组鼻窦炎相关症状总评分与对照组比较差异有统计学意义(P0.05);治疗组在术后4、8、12周鼻腔粘膜评分、上皮化程度较对照组显著改善,差异有统计学意义(P0.05);治疗组在术后1d、3d咽喉部症状总评分、咽痛和异物感症状评分显著较对照组改善,差异有统计学意义(P0.05)。结论:芪菊袋泡茶在慢性鼻窦炎伴鼻息肉FESS术后能取得良好的临床疗效,明显改善术后症状,值得临床推广。

The Clinical Outcome of Qiju Tea Bags in Chronic Sinusitis Patients with Nasal Polyps after FESS Surgery

ABSTRACT Objective: To evaluate the clinical outcome of Qiju tea bags in post-functional endoscopic sinus surgery (FESS). Methods: Patients were divided into two groups with the random number table method, control group for routine care and treatment group on the basis of conventional nursing with giving Qiju tea bags atomization or drinking. Qiju tea bags were began to treat in six hours postoperatively, with 30 mL water each for atomization inhalation, and the other bag with 100 mL water for drinking twice times a day, which lasts one week. All patients were followed up 12 weeks after previous treatment and drinking two bags twice times a day.Scores of sinusitis-related symptoms (including nasal congestion, headache, facial pain, olfactory obstruction, nose), nasal mucosa changes, and postoperative laryngeal symptoms (including pharyngeal pain, foreign body sensation, sputum removal, cough) were compared between the two groups. Results: Compared with the control group, the total score of sinusitis-related symptom in treatment group was significantly different (p<0.05) at 2, 4, 8 and 12 weeks postoperatively. The nasal mucosa score and the degree of epithelial grade in the treatment group at 4, 8 and 12 weeks were improved compared with those in the control group, and significantly different (p<0.05). The symptom scores of pharyngeal, the scores of pharyngeal pain and foreign body sensation in the treatment group at 1 day and 3 days postoperativel were improved with that in control group and significantly different(p<0.05). Conclusion: Qiju tea bags can achieve better clinical outcome in chronic sinusitis patients with nasal polyps after FESS and significantly improve the symptom, which worths of promoting in clinic.