首页|鼻窦方冲洗联合布地奈德鼻喷雾剂在功能性鼻内镜术后鼻黏膜修复中的应用效果

鼻窦方冲洗联合布地奈德鼻喷雾剂在功能性鼻内镜术后鼻黏膜修复中的应用效果

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目的 探究鼻窦方冲洗联合布地奈德鼻喷雾剂在功能性鼻内镜术后鼻黏膜修复中的应用效果.方法 选择 2012年1月至2015 年 3月我院收治的116 例功能性鼻内镜术患者为研究对象,以随机数字表法将其分为对照组和观察组,每组58例.对照组在功能性鼻内镜术后给予布地奈德鼻喷雾剂治疗,观察组则在对照组治疗基础上加施鼻窦方冲洗.比较两组的治疗效果.结果 治疗后28 d,观察组的中文版鼻腔鼻窦结局测试-20(SNOT-20)、Lund-Kennedy评分低于对照组(P<0.05).治疗后28 d,观察组的干扰素-γ(IFN-γ)、白细胞介素-4(IL-4)、白细胞介素-2(IL-2)及白细胞介素-5(IL-5)水平低于对照组(P<0.05).治疗后28 d,观察组的鼻腔通气面积大于对照组,鼻腔阻力低于对照组,纤毛运动速率高于对照组(P<0.05).结论 鼻窦方冲洗联合布地奈德鼻喷雾剂用于功能性鼻内镜术后鼻黏膜修复中不仅可改善患者的临床症状,调节鼻黏膜炎症因子水平,还能促进鼻黏膜修复及鼻腔功能、纤毛功能恢复,值得推广.
Application effect of nasal sinus irrigation combined with budesonide nasal spray in nasal mucosa repair after functional endoscopic sinus surgery
Objective To explore the application effect of nasal sinus irrigation combined with budesonide nasal spray in nasal mucosa repair after functional endoscopic sinus surgery.Methods A total of 116 patients with functional endoscopic sinus surgery admitted in our hospital from January 2012 to March 2015 were selected as research objects,and the patients were divided into control group and observation group according to random number table method,with 58 cases in each group.The control group was treated with budesonide nasal spray after functional endoscopic sinus surgery,while the observation group was treated with nasal sinus irrigation on the basis of the control group.The therapeutic effects of the two groups were compared.Results At 28 d after treatment,the scores of Sino-Nasal Outcome Test-20(SNOT-20)and Lund-Kennedy in the observation group were lower than those in the control group(P<0.05).At 28 d after treatment,the levels of interferon-γ(IFN-γ),interleukin-4(IL-4),interleukin-2(IL-2)and interleukin-5(IL-5)in the observation group were lower than those in the control group(P<0.05).At 28 d after treatment,the nasal ventilation area of the observation group was larger than that of the control group,the nasal airway resistance was lower than that of the control group,and the cilia movement rate was higher than that of the control group(P<0.05).Conclusion Nasal sinus irrigation combined with budesonide nasal spray for nasal mucosal repair after functional endoscopic sinus surgery can not only improve the clinical symptoms of patients,regulate the levels of nasal mucosal inflammatory factors,but also promote the nasal mucosa repair,recovery of nasal function and cilia function,which is worthy of promotion.

nasal sinus irrigationbudesonide nasal sprayfunctional endoscopic sinus surgerynasal mucosa repaircilia functioninflammatory factor

李巧玉、龚龙岗、王颖东

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西安交通大学附属红会医院耳鼻咽喉头颈外科,陕西 西安,710054

鼻窦方冲洗 布地奈德鼻喷雾剂 功能性鼻内镜术 鼻黏膜修复 纤毛功能 炎症因子

秦创原中药创新研发项目

2022-QCYZH-030

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(17)