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鼻内镜手术联合香菊胶囊对慢性鼻窦炎伴鼻息肉患者的影响

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目的:探讨鼻内镜手术联合香菊胶囊对慢性鼻窦炎伴鼻息肉患者的影响。方法:选取 2022 年 1 月—2024 年2 月江苏大学附属武进医院收治的 100 例慢性鼻窦炎伴鼻息肉患者。根据摸球法将其分为对照组(n=50,奇数)和观察组(n=50,偶数)。对照组给予鼻内镜手术治疗,观察组在对照组基础上给予香菊胶囊治疗。比较两组治疗前后鼻腔通气功能、鼻内镜Lund-Kennedy评分、嗅觉功能、鼻黏液纤毛清除功能及并发症。结果:治疗后,观察组鼻气道阻力低于对照组,鼻腔最小截面积到前鼻孔距离短于对照组,鼻腔容积、鼻腔最小截面积均大于对照组,差异有统计学意义(P<0。05)。治疗后,观察组鼻内镜Lund-Kennedy评分、嗅觉功能评分均低于对照组,差异有统计学意义(P<0。05)。治疗后,观察组糖精清除时间短于对照组,黏膜纤毛清除速度、黏液纤毛清除率均高于对照组,差异有统计学意义(P<0。05)。观察组并发症发生率为4。00%,低于对照组的 18。00%,差异有统计学意义(P<0。05)。结论:鼻内镜手术联合香菊胶囊治疗慢性鼻窦炎伴鼻息肉患者,可以显著改善鼻腔通气功能,降低Lund-Kennedy评分,提高嗅觉功能,加速鼻黏膜纤毛的清除效率,并显著减少并发症。
Effect of Endoscopic Surgery Combined with Xiangju Capsules on Patients with Chronic Sinusitis and Nasal Polyps
Objective:To explore the effect of endoscopic surgery combined with Xiangju Capsules on patients with chronic sinusitis and nasal polyps.Method:A total of 100 patients with chronic sinusitis with nasal polyps admitted to Wujin Hospital Affiliated to Jiangsu University from January 2022 to February 2024 were selected.They were divided into control group(n=50,odd)and observation group(n=50,even)according to ball-touching method.The control group was given nasal endoscopic surgery,and the observation group was given Xiangju Capsules on the basis of the control group.Nasal ventilation function,nasal endoscopic Lund-Kennedy score,olfactory function,mucociliary clearance function before and after treatment and complications were compared between the two groups.Result:After treatment,the nasal airway resistance of the observation group was lower than that of the control group,the distance from the minimum cross-sectional area of the nasal cavity to the front nostril was shorter than that of the control group,and the nasal volume and minimum cross-sectional area of the nasal cavity were larger than that of the control group,the differences were statistically significant(P<0.05).After treatment,the nasal endoscopic Lund-Kennedy score and olfactory function score in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,saccharin clearance time in observation group was shorter than that in control group,mucociliary clearance speed and mucociliary clearance rate were higher than those in control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 4.00%,which was lower than 18.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion:In the treatment of patients with chronic sinusitis and nasal polyps,nasal endoscopic surgery combined with Xiangju Capsules can significantly improve nasal ventilation function,reduce Lund-Kennedy score,improve olfaction function,accelerate the clearance efficiency of nasal mucocilia,and significantly reduce complications.

Endoscopic surgeryXiangju CapsulesChronic sinusitis with nasal polypsNasal ventilation functionNasal mucociliary clearance

张佳庆、陈晓平

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江苏大学附属武进医院(徐州医科大学武进临床学院)江苏 常州 213002

鼻内镜手术 香菊胶囊 慢性鼻窦炎伴鼻息肉 鼻腔通气功能 鼻黏膜纤毛清除

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(35)