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鼻腔冲洗联合糠酸莫米松鼻喷雾剂治疗变应性鼻炎的临床效果

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目的 分析鼻腔冲洗联合糠酸莫米松鼻喷雾剂治疗变应性鼻炎的临床效果.方法 将我院2020年 1月至 12 月收治的 80 例变应性鼻炎患者作为研究对象,以随机数字表法将其分为常规组和观察组,各 40 例.常规组给予糠酸莫米松鼻喷雾剂治疗,观察组给予鼻腔冲洗联合糠酸莫米松鼻喷雾剂治疗.比较两组的治疗效果.结果 治疗后,观察组的喷嚏、流涕、鼻塞、鼻痒及鼻结膜炎生存质量量表(RQLQ)评分均低于常规组(P<0.05).治疗后,观察组的超敏C-反应蛋白(hs-CRP)、总免疫球蛋白E(TIgE)及肿瘤坏死因子-α(TNF-α)水平低于常规组(P<0.05).治疗后,观察组的嗜酸性粒细胞(EOS)百分比显著低于常规组,干扰素-γ(IFN-γ)、可溶性程序性死亡配体-1(sPD-L1)及转化生长因子-β(TGF-β)水平显著高于常规组,差异具有统计学意义(P<0.05).结论 鼻腔冲洗联合糠酸莫米松鼻喷雾剂治疗变应性鼻炎患者可取得显著的临床效果,能快速改善患者的症状、炎症及生化指标,也能提高生活质量,值得临床推广.
Clinical effect of nasal irrigation combined with mometasone furoate nasal spray in the treatment of allergic rhinitis
Objective To analyze the clinical effect of nasal irrigation combined with mometasone furoate nasal spray in the treatment of allergic rhinitis.Methods A total of 80 patients with allergic rhinitis admitted in our hospital from January to December 2020 were selected as the research objects,and the patients were divided into conventional group and observation group by random number table method,with 40 cases in each group.The conventional group was treated with mometasone furoate nasal spray,and the observation group was treated with nasal irrigation combined with mometasone furoate nasal spray.The therapeutic effects of the two groups were compared.Results After treatment,the scores of sneezing,runny nose,nasal congestion,nasal itching and Rhinoconjunctivitis Quality of Life Questionnaire(RQLQ)in the observation group were lower than those in the conventional group(P<0.05).After treatment,the levels of high-sensitivity C-reactive protein(hs-CRP),total immunoglobulin E(TIgE)and tumor necrosis factor-α(TNF-α)in the observation group were lower than those in the conventional group(P<0.05).After treatment,the percentage of eosinophils(EOS)in the observation group was significantly lower than that in the conventional group,the levels of interferon-γ(IFN-γ),soluble programmed death ligand-1(sPD-L1)and transforming growth factor-β(TGF-β)were significantly higher than those in the conventional group,and the differences were statistically significant(P<0.05).Conclusion Nasal irrigation combined with mometasone furoate nasal spray in the treatment of patients with allergic rhinitis can achieve significant clinical effect,it can quickly improve the symptoms,inflammation and biochemical indicators of patients,and can also improve the quality of life,which is worthy of clinical promotion.

allergic rhinitismometasone furoate nasal spraynasal irrigation

谷康柱

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三原县医院,陕西 咸阳,713800

变应性鼻炎 糠酸莫米松鼻喷雾剂 鼻腔冲洗

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(10)
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