首页|常年型变应性鼻炎伴鼻中隔偏曲应用鼻内镜手术治疗的效果分析

常年型变应性鼻炎伴鼻中隔偏曲应用鼻内镜手术治疗的效果分析

扫码查看
目的 分析常年型变应性鼻炎(Allergic Rhinitis,AR)伴鼻中隔偏曲应用鼻内镜手术治疗的效果.方法 方便选取2021年1月—2023年10月三明市第一医院收治的108例伴鼻中隔偏曲的AR患者为研究对象,按随机数表法分组,对照组54例行鼻中隔矫正术治疗,研究组54例联合鼻内镜下鼻中隔黏膜下切除术治疗,对比两组鼻部症状评分、气道反应性、并发症情况及生活质量.结果 研究组各项鼻部症状评分、气道反应性指标均低于对照组,差异有统计学意义(P均<0.05).研究组行为问题、鼻部症状、睡眠障碍、眼部症状及其他症状评分较对照组更低,差异有统计学意义(P均<0.05).研究组和对照组的并发症总发生率分别为9.26%和5.56%,两组比较,差异无统计学意义(χ2=0.540,P>0.05).结论 常年型AR伴鼻中隔偏曲应用鼻内镜手术治疗,有利于改善鼻部症状,提高患者生活质量,改善气道反应性,且并发症少.
Analysis of the Effect of Nasal Endoscopic Surgery for Perennial Allergic Rhinitis with Deviated Septum
Objective To analyze the effect of application of nasal endoscopic surgery for perennial allergic rhinitis(AR)with deviated septum.Methods A total of 108 AR patients with deviated septum admitted to Sanming First Hos-pital from January 2021 to October 2023 were conveniently selected as the study objects and were grouped according to the randomized numerical table method.54 cases in the control group were treated with septal correction,and 54 cases in the study group were treated with combined endonasal endoscopic submucosal resection of the nasal septum.Nasal symptom scores,airway responsiveness,complications and quality of life were compared between the two groups.Results The scores of nasal symptoms and airway reactivity index in the study group were lower than those in the control group,and the differences were statistically significant(both P<0.05).Behavioral problems,nasal symp-toms,sleep disorders,ocular symptoms,and other symptom scores were lower in the study group than those in the con-trol group,and the differences were statistically significant(all P<0.05).The total incidence of complications was 9.26%in the study group and 5.56%in the control group,and there was no significant difference between the two groups(χ2=0.540,P>0.05).Conclusion The application of nasal endoscopic surgery for perennial AR with deviated septum is conducive to the improvement of nasal symptoms,the quality of life of patients,and the improvement of air-way responsiveness,and has fewer complications.

Perennial allergic rhinitisNasal endoscopic surgeryDeviated septumAirway responsivenessQuality of life

王金丽、张燕松、李伟

展开 >

三明市第一医院耳鼻咽喉科,福建三明 365000

常年型变应性鼻炎 鼻内镜手术 鼻中隔偏曲 气道反应性 生活质量

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(7)
  • 18