鼻内镜术后不同冲洗液冲洗鼻腔的效果对比#

摘要

Objective: To observe the different effect of Biyuan Tongqiao dilution and physiologic saline on nasal endoscopic post-surgery nasal cavity rinse.Methods:Ninety patients were covered in the functional endoscopic sinus surgery (FESS). Biyuan Tongqiao dilution was given to the study group and physiologic saline was given to the control group.Regular weekly nasal endoscope inspection were performed to observe physical sign changes, including nasal symptoms, surgical cavity cleaning, vesicle formation, and melt granulation of the two groups in four weeks.Results:In comparison, both two groups had therapeutic effects after four weeks rinse treatment, and the treatment effects were similar. However, Biyuan Tongqiao dilution turned out to be better on surgical cavity scab off, mucosal edema, nasal secretion decrease, and vesicle formation than physiologic saline,with significant difference (P<0.05); The overall efficiency of study group was 93.33%, and the overall efficiency of control group was 91.11%, without significant difference (P>0.05). Conclusion:Biyuan Tongqiao dilution can effectively clean post-FESS nasal, with effects of nasal mucosal edema relief, coated vesicle regeneration, and promoting membrana mucosa function recovery.%目的：观察鼻渊通窍颗粒稀释液与生理盐水对鼻内镜术后鼻腔冲洗的效果。方法：临床纳入进行功能性内窥镜鼻窦手术患者90例，研究组给予鼻渊通窍颗粒稀释液，对照组给予生理盐水。每周定期对患者进行鼻内窥镜的检查，观察两组患者4周内鼻腔症状以及术腔清洁、囊泡形成、肉芽生成等体征变化情况。结果：两组术后4周冲洗治疗结果表明，两者均有治疗作用，且治疗效果相当，但鼻渊通窍颗粒稀释液冲洗在术后第2周时对术腔痂皮脱落、黏膜水肿、鼻分泌物减少、囊泡形成治疗作用较生理盐水冲洗要好，差异有显著性（P＜0.05）；研究组治疗4周，总有效率为93.33%，对照组有效率为91.11%，差异无显著性（P＞0.05）。结论：鼻渊通窍颗粒稀释液能够有效清洁术后的鼻腔，具有减轻鼻腔黏膜水肿、囊泡再生以及促进黏膜功能恢复等作用。