论文部分内容阅读
目的:探讨鼻窦内镜术治疗鼻窦炎合并鼻息肉的临床疗效及对鼻腔通气和嗅觉功能的影响。方法:选取2014年1月至2016年6月我院收治的鼻窦炎合并鼻息肉患者80例。根据随机数字表法分为观察组和对照组,各40例。对照组给予传统摘除术治疗,观察组则行鼻窦内镜术治疗。比较两组临床疗效以及治疗前、治疗后3个月症状评分、鼻气道总阻力、嗅觉功能评分。结果:观察组治疗总有效率为95.00%,显著高于对照组的77.50%(P<0.05)。治疗前两组患者鼻塞、脓涕、嗅觉障碍、疼痛及总症状评分比较无统计学差异(P>0.05),治疗后3个月两组患者鼻塞、脓涕、嗅觉障碍、疼痛及总症状评分均低于治疗前,且观察组患者鼻塞、脓涕、嗅觉障碍、疼痛及总症状评分低于对照组(P<0.05)。治疗前两组患者鼻气道总阻力、嗅觉功能评分比较无统计学差异(P>0.05),治疗后3个月两组患者鼻气道总阻力、嗅觉功能评分均低于治疗前,且观察组低于对照组(均P<0.05)。结论:鼻窦内镜术治疗鼻窦炎合并鼻息肉有利于改善患者临床症状,促进患者嗅觉功能以及鼻腔通气的恢复,是治疗鼻窦炎合并鼻息肉的有效方法。
Objective: To investigate the clinical efficacy of sinus endoscopic sinusitis and nasal polyps and its influence on nasal ventilation and olfactory function. Methods: From January 2014 to June 2016, 80 patients with sinusitis and nasal polyps were admitted to our hospital. According to random number table divided into observation group and control group, 40 cases each. The control group was treated by conventional enucleation, and the observation group was treated by endoscopic sinus surgery. The clinical efficacy of the two groups were compared before treatment, symptom score 3 months after treatment, total nasal airway resistance and olfactory function score. Results: The total effective rate of the observation group was 95.00%, which was significantly higher than that of the control group (77.50%, P <0.05). There was no significant difference in nasal congestion, purulent nasal discharge, olfactory dysfunction, pain and total symptom score between the two groups before treatment (P> 0.05). After 3 months of treatment, nasal congestion, purulent nasal discharge, olfactory dysfunction, pain and total symptom score Were lower than those before treatment, and nasal congestion, purulent nasal discharge, olfactory dysfunction, pain and total symptom scores in the observation group were lower than those in the control group (P <0.05). There was no significant difference in total nasal airway resistance and olfactory function scores between the two groups before treatment (P> 0.05). The total nasal airway resistance and olfactory function scores of the two groups were lower than those before treatment after 3 months of treatment Group lower than the control group (all P <0.05). Conclusion: Endoscopic sinus surgery for sinusitis and nasal polyps is helpful to improve the clinical symptoms, promote the patients’ olfactory function and recovery of nasal ventilation, and is an effective method for the treatment of sinusitis complicated with nasal polyps.