The Application Effect of Bidou Painong Decoction in Patients with Chronic Sinusitis with Damp-heat Type of Spleen and Stomach Undergoing Functional Endoscopic Nasal Surgery
Objective To investigate the effect of sinus drainage fluid in patients with chronic sinusitis(CRS)with damp-heat type of spleen and stomach undergoing functional endoscopic nasal surgery(FESS).Methods A total of 96 patients with CRS in Xinyu Traditional Chinese Medicine Hospital from June 2020 to December 2022 were selected and divided into two groups with 48 patients in each group by random number table method.Both groups were treated with FESS,the control group was treated with amoxicillin sodium clavulanate potassium combined with mometasone furoate nasal spray,the observation group was treated with bidou painong decoction based on the control group,both groups were treated continuously for 4 weeks.The clinical efficacy,nasal mucosa morphology,nasal mucociliary function,inflammatory factor level,TCM syndrome score and adverse reactions were compared between the two groups.Results The total effective rate of observation group was higher than that of control group(P<0.05).After treatment,the Lund Kennedy score,and the levels of hypersensitive C-reactive protein,interleukin-6 and TCM syndrome score in observation group were lower than those in control group(P<0.05),the clearance speed and clearance rate in observation group were higher than those in control group.There was no difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion In patients with CRS with damp-heat type of spleen and stomach,the effect of sinus drainage fluid is better,which can promote the recovery of nasal mucosa morphology and function,reduce inflammation and promote the recovery of disease.
Chronic sinusitisDamp-heat type of spleen and stomachBidou painong decoctionFunctional endoscopic nasal surgeryNasal mucosa morphologyNasal mucociliary functionLevels of inflammatory factorsSecurity