首页|中药鼻炎康片对慢性鼻-鼻窦炎功能性鼻内窥镜术后患者生活质量及复发率的影响

中药鼻炎康片对慢性鼻-鼻窦炎功能性鼻内窥镜术后患者生活质量及复发率的影响

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目的 探讨中药鼻炎康片对慢性鼻-鼻窦炎功能性鼻内窥镜术后患者生活质量及复发率的影响.方法 以2014年10月~2016年11月于浙江省肿瘤医院收治的78例慢性鼻-鼻窦炎患者为对象,依据患者入院顺序随机分为对照组及中药组,各39例,2组均实施功能性鼻内窥镜术治疗,中药组在此基础上另给予中药鼻炎康片治疗,观察治疗后2组临床疗效、炎症因子[白细胞介素-4(IL-4)、白细胞介素-8(IL-8)]、预后效果[鼻窦炎症状视觉模拟量表(VAS)评分、生活质量调查问卷(EORTC QLQ-C30)]、药物安全性及复发率.结果 治疗后中药组总有效率89.74%较对照组71.79%明显高(χ2=4.044,P<0.05);治疗后2组IL-4、IL-8、VAS评分较治疗前明显降低,EORTC QLQ-C30评分明显升高,且治疗后中药组的各项评分变化较对照组比较差异具有统计学意义(P<0.05);而治疗后中药组不良反应发生率与对照组相比较差异无统计学意义;但治疗后1年中药组复发率明显低于对照组,差异具有统计学意义(P<0.05).结论 中药鼻炎康片治疗慢性鼻-鼻窦炎功能性鼻内窥镜术后患者的临床疗效明确,通过明显抑制机体炎性因子表达,从而有效提高其预后效果及生活质量,并且显著降低复发率.
Effect of Biyankang Tablets on quality of life and recurrence rate in patients with chronic rhinosinusitis after functional endoscopic sinus surgery
Objective To investigate the effect of Biyankang Tablets on quality of life and recurrence rate in patients with chronic rhinosinusitis after functional endoscopic sinus surgery (FESS). Methods A total of 78 patients with chronic rhinosinusitis treated in our hospital during October 2014 to November 2016 were selected, and they were randomly divided into the control group and the traditional Chinese medicine (TCM) group according to the order of admission, with 39 cases in each group. Both groups were treated with FESS, and the TCM group was additionally treated with Biyankang Tablets. The clinical efficacy, inflammatory factors [interleukin-4 (IL-4), interleukin-8 (IL-8)], the prognosis [visual analogue scale (VAS) score of rhinosinusitis and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)], drug safety and recurrence rates in the two groups were observed. Results After treatment, the total effective rate of treatment in TCM group was significantly higher than that in the control group (89.74% vs 71.79%) (χ2=4.044, P<0.05). After treatment, IL-4, IL-8 and VAS scores in the two groups were significantly decreased, and the scores of EORTC and QLQ-C30 were significantly increased, and the changes of scores in TCM group after treatment were more significant than those in the control group (P<0.05). After treatment, there was no significant difference in the incidence of adverse reactions between the two groups, and the recurrence rate in TCM group was significantly lower than that in the control group in 1 year after treatment (P<0.05). Conclusion TCM Biyankang Tablets is significantly effective in the treatment of patients with chronic rhinosinusitis after FESS. It can significantly inhibit the expression of inflammatory factors, effectively improve the prognosis and quality of life, and significantly reduce the recurrence rate.

chronic rhinosinusitisnasal endoscopic surgerybiyankang tabletscurative effectquality of liferecurrence rate

郑小蓉、姜建伟

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浙江省肿瘤医院 药剂科,浙江 杭州 310000

慢性鼻-鼻窦炎 鼻内窥镜术 鼻炎康片 疗效 生活质量 复发率

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(8)
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