慢性鼻-鼻窦炎内窥镜鼻窦手术术后中医辨证治疗的主客观疗效初探

摘要

目的 探讨慢性鼻-鼻窦炎内窥镜鼻窦手术术后中医辨证治疗的主客观疗效.方法 选择2011年1月至2012年10月在我院住院治疗的慢性鼻窦炎患者105例(192侧).以数字法分成观察组和对照组两个组别,其中对照组53例,共计98侧.观察组52例,共计94侧.观察组在实施内窥镜下鼻窦手术之后通过中医辨证方案进行治疗,而对照组则在手术后不采用中医辨证方案进行治疗.对比两组患者在术后疗效、上皮化时间、VAS评分情况.结果 观察组治疗无效数据为5例(9.6％),低于对照组16例(30.2％)；且观察组治疗改善率47例(90.3％)显著高于对照组37例(69.8％),差异有统计学意义(P＜0.05).而观察组治愈23例(44.2％),好转24例(46.2％),对比于对照组分别数据16例(30.2％),21例(39.6％),差异无统计学意义(P＞0.05).观察组上皮化时间(46.7±12.6)d,少于对照组(58.6± 16.8)d.差异有统计学意义(P＜0.05).观察组在治疗后VAS评分为(2.31±0.98)低于对照组(3.25±1.12),差异有统计学意义(P＜0.05).结论 中医辨证治疗慢性鼻-鼻窦炎内窥镜鼻窦手术术后效果显著,促进上皮化,改善患者主观症状,值得临床推荐.%Objective To discuss the syndrome differentiation of traditional Chinese medicine (SDTCM)'s objective and subjective curative effect observation of chronic rhinosinusitis after endoscopic sinus surgery (ESS).Methods We chose 105 cases (192 sides) treated by surgery from January 2011 to October 2012 in our hospital.The cases were divided into 2 groups,observation group and control group by digital method.The control group included 53 cases of patients (98 sides),and the observation group included 52 cases of patients (94 sides).The observation was treated with SDTCM after ESS,while the control group was not.Curative effect was compared in the 2 groups,epithelial time and VAS score.Results The observation group' s treatment of invalid data was 5(9.6％),significantly lower than that of the control group as 16(30.2％).The observation group' s treatment improved rate of 47(90.3％) was significantly higher than that in control group of 37(69.8％).The difference was statistically significant (P ＜ 0.05).The observation group patients were cured in 23(44.2％),improvement in 24 (46.2％),compared with control group each data of 16(30.2％),21(39.6％).The difference was not statistically significant (P ＞ 0.05).The epithelial time of observation group of (46.7 ± 12.6) d,was significantly lower than that of the control group as (58.6 ± 16.8) d.The difference was statistically significant (P ＜ 0.05).The observation group' s VAS score was (2.31 ± 0.98) after treatment,which was significantly lower than that of the control group of (3.25 ± 1.12).The difference was statistically significant (P ＜ 0.05).Conclusion SDTCM has significant effect in treating patients of chronic rhinosinusitis after ESS,improves patients' epithelial changing,and their subjective symptoms,which is worthy of clinic recommendation.