摘要
目的 观察0.9％氯化钠冲洗鼻腔辅助治疗变应性鼻炎伴鼻后滴流症状的临床疗效.方法 将58例变应性鼻炎伴鼻后滴流症状患者按随机数字表法分为两组,每组29例,治疗组在规范使用抗组胺类药物、鼻用激素及鼻用减充血剂治疗的基础上,鼻用激素前用0.9％氯化钠冲洗鼻腔；对照组未用0.9％氯化钠冲洗鼻腔,疗程共6周,观察两组患者变应性鼻炎症状及鼻后滴流症状改善情况.结果 变应性鼻炎临床控制疗效：治疗组总有效率96.6％（28/29）,对照组总有效率72.4％（21/29）,两组比较差异有统计学意义（P＜0.05）.鼻后滴流症状临床控制疗效：治疗组有效率89.7％（26/29）,对照组有效率58.6％（17/29）,两组比较差异有统计学意义（P＜0.05）.结论 0.9％氯化钠冲洗鼻腔可有效改善变应性鼻炎的鼻部症状,同时可减轻鼻后滴流症状,是较为安全有效的治疗方法.
Objective To observe the clinical effect of 0.9% sodium nasal irrigation to adjuvant treatment of allergic rhinitis with postnasal drip symptoms.Methods Fifty-eight patients of allergic rhinitis with postnasal drip symptoms were divided into two groups by random number table method,29 cases in each.The treatment group was treated on the basis by antihistamine drugs in the specification,nasal steroid and nasal decongestants,given 0.9% sodium to nasal irrigation before nasal steroid;the control group was not given 0.9% sodium to nasal irrigation before nasal steroid,treatment for 6 weeks,improvement of allergic rhinitis symptoms and postnasal drip symptoms were observed in two groups.Results The clinical efficacy of allergic rhinitis：the total effective rate in treatment group was higher than that in control group [96.6% （28/29） vs.72.4% （21/29）],which reached statistical significance （P 〈 0.05）.The clinical efficacy of postnasal drip symptoms：the effective rate in treatment group was higher than that in control group [89.7% （26/29） vs.58.6%（17/29）],which reached statistical significance（P〈 0.05）.Conclusions 0.9% sodium nasal irrigation can improve the nasal symptoms of allergic rhinitis,reduce postnasal drip symptoms at the same time.It is a safe and effective treatment method.
出处
《中国医师进修杂志》
2014年第6期24-26,共3页
Chinese Journal of Postgraduates of Medicine
