首页|糠酸莫米松鼻喷雾剂联合克拉霉素治疗慢性鼻窦炎的价值研究

糠酸莫米松鼻喷雾剂联合克拉霉素治疗慢性鼻窦炎的价值研究

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目的 分析慢性鼻窦炎患者选择糠酸莫米松鼻喷雾剂联合克拉霉素治疗的临床效果.方法 方便选取2021年1月—2022年9月石狮市总医院耳鼻咽喉科收治的96例慢性鼻窦炎患者为研究对象,根据不同治疗方法分为对照组和观察组,各48例.对照组行克拉霉素治疗,观察组行糠酸莫米松鼻喷雾剂与克拉霉素结合治疗.对比两组患者的临床症状积分、药物不良反应、血清指标.结果 干预后,两组鼻塞、头痛、流脓涕、嗅觉减弱症状积分低于干预前,观察组低于对照组,差异有统计学意义(P均<0.05).观察组药物不良反应总发生率与对照组对比,差异无统计学意义(P>0.05).干预前,两组血清指标水平对比,差异无统计学意义(P>0.05);干预后,两组血清指标水平低于干预前,观察组白细胞介素-17、白细胞介素-1β以及中性粒细胞与淋巴细胞的比值水平分别为(28.47±7.83)pg/mL、(14.67±3.56)pg/mL、(2.75±0.62),均低于对照组的(45.00±9.70)pg/mL、(19.63±5.22)pg/mL、(3.58±0.67),差异有统计学意义(t=9.187,5.439,6.299;P均<0.05).结论 对于慢性鼻窦炎患者而言,使用糠酸莫米松鼻喷雾剂联合克拉霉素的治疗方法能有效改善其临床症状,提升疗效,并优化患者的血清指标.
Value of Mometasone Furoate Nasal Spray Combined with Clarithromycin in the Treatment of Chronic Sinusitis
Objective To analyze the clinical effect of mometasone furoate nasal spray combined with clarithromycin in patients with chronic sinusitis.Methods A total of 96 patients with chronic sinusitis admitted to the Department of Otorhinolaryngology in Shishi General Hospital from January 2021 to September 2022 were conveniently selected as the research objects.According to different treatment methods,they were divided into control group and observation group,with 48 cases in each group.The control group was treated with clarithromycin,and the observation group was treated with mometasone furoate nasal spray combined with clarithromycin.The clinical symptom scores,adverse drug reactions and serum indexes of the two groups were compared.Results After intervention,the nasal congestion,head-ache,purulentnasal discharge,olfactory weakening scores of the two groups were lower than those before intervention,and the observation group was lower than the control group,the differences were statistically significant(all P<0.05).There was no significant difference in the total incidence of adverse drug reactions between the observation group and the control group(P>0.05).Before intervention,there was no significant difference in serum index levels between the two groups(P>0.05);after intervention,the levels of serum indexes in the two groups were lower than those before in-tervention,the levels of interleukin-17,interleukin-1β and the ratio of neutrophils to lymphocytes in the observation group were(28.47±7.83)pg/mL,(14.67±3.56)pg/mL and(2.75±0.62),respectively,which were lower than those in the control group(45.00±9.70)pg/mL,(19.63±5.22)pg/mL and(3.58±0.67),the differences were statistically significant(t=9.187,5.439,6.299;all P<0.05).Conclusion For patients with chronic sinusitis,the treatment of mometasone fu-roate nasal spray combined with clarithromycin can effectively improve the clinical symptoms,improve the curative ef-fect,and optimize the serum indexes of patients.

Nasuna nasal sprayClarithromycinChronic sinusitis

吴伟煌

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石狮市总医院耳鼻咽喉科,福建 石狮 362700

糠酸莫米松鼻喷雾剂 克拉霉素 慢性鼻窦炎

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(33)