论文部分内容阅读
21名因过敏性或血管运动性鼻炎粘膜肿胀引起鼻塞的病人因局部类固醇制剂或全身减充血剂治疗无效而入院作透热手术。9名女性、12名男性,年龄在15~38岁之间。另有21名健康对照组。二组均详细采集病史及体检,治疗组还作了鼻窦放射学、鼻分泌物微生物检查、白细胞分类计数、IgE 测定等检查。鼻气流阻力使用 mercury electronics NRI鼻测压计作前鼻孔测压。每个鼻腔测量15次,病人对鼻控通气程度的主观估计采用两个极端为“鼻完全阻塞”和“鼻完全通畅”的5点分度法。在术前24小时测定治疗组病人鼻阻力,并由作者之一以标准方法作下甲粘膜下透热法。术后2个月及15个月接受复查并再一次测定鼻阻力。
Twenty-one patients with nasal congestion due to mucosal swelling due to allergic or vasomotor rhinitis were admitted to the hospital for dialysis as a result of the ineffective treatment of topical steroid preparations or systemic decongestants. Nine women, 12 men, aged 15 to 38 years old. Another 21 healthy control group. The two groups were collected in detail history and physical examination, the treatment group also made sinus radiology, nasal secretions microbial examination, white blood cell count, IgE test. Nasal airflow resistance was measured using a mercury electronics NRI nasal manometer for pre-nostril pressure measurement. Fifteen measurements were taken per nasal cavity and the patient subjectively assessed nasal prophylaxis using two 5-point indexing methods at extreme extremes of “complete nasal obstruction” and “complete nasal constriction.” Nasal resistance in the treated group was measured 24 hours prior to surgery and one of the authors underwent standard submucosal dialysis. Postoperative 2 months and 15 months to accept the review and once again measured nasal resistance.