鼻窦炎鼻息肉的治疗方法及效果评析

发布时间：2019-01-30 07:53

【摘要】：目的研究并探讨鼻窦炎合并鼻息肉的治疗方法及临床效果。方法选取于2013年1月~2015年6月间来我院耳鼻喉科就诊的100例慢性鼻窦炎合并鼻息肉患者作为研究对象,采取数字抽签法将这100例患者分为对照组、观察组,每组50例。对照组进行鼻窦开放手术治疗,术后给予布地奈德喷鼻;观察组进行鼻内镜下鼻中隔矫正+鼻窦开放手术治疗,并在术后给予阿奇霉素联合布地奈德喷鼻。对比两组患者的临床总有效率、术后复发率以及治疗前后的嗜酸性粒细胞计数变化情况。结果观察组的临床总有效率为96%,明显高于对照组的82%(P0.05)。观察组的术后复发率为2%,明显低于对照组的16%(P0.05)。与治疗前相比,治疗后两组的嗜酸性粒细胞计数均明显减少(P0.05),但治疗后观察组的嗜酸性粒细胞计数较之对照组明显更少(P0.05)。结论在鼻窦炎合并鼻息肉患者的临床治疗中,实施鼻内镜下鼻中隔矫正+鼻窦开放手术治疗,并在术后给予患者阿奇霉素联合布地奈德喷鼻,具有显著的临床疗效。
[Abstract]:Objective to study the treatment and clinical effect of sinusitis complicated with nasal polyps. Methods from January 2013 to June 2015, 100 patients with chronic sinusitis complicated with nasal polyps were selected as study objects. The 100 patients were divided into control group (n = 50) and observation group (n = 50). The control group was treated with open sinus surgery, and the observation group was treated with budesonide nasal spray under nasal endoscope, and with azithromycin combined with budesonide nasal spray. The clinical effective rate, recurrence rate and eosinophil count before and after treatment were compared between the two groups. Results the total effective rate of the observation group was 96%, which was significantly higher than that of the control group (82%) (P0.05). The postoperative recurrence rate in the observation group was 2%, which was significantly lower than that in the control group (16%) (P0.05). Compared with before treatment, the eosinophil counts in the two groups were significantly decreased after treatment (P0.05), but the eosinophil count in the observation group was significantly less than that in the control group (P0.05). Conclusion in the clinical treatment of sinusitis combined with nasal polyps, endoscopic nasal septum correction of nasal sinus surgery, and after the patients with azithromycin combined with budesonide spray, has a significant clinical effect.
【作者单位】：福建省莆田市涵江医院耳鼻咽喉科;
【分类号】：R765

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