摘要
目的分析和探讨慢性鼻窦炎患者经功能性鼻内镜手术联合曲安奈德填塞治疗的临床效果。方法回顾性选取2021年7月—2022年12月于徐州新健康老年病医院耳鼻咽喉科进行手术的62例慢性鼻窦炎患者的临床资料。根据治疗方式差异分为对照组(n=30)和观察组(n=32)。所有患者均进行功能性鼻内镜手术,在此基础上,对照组采用生理盐水浸泡敷料填塞鼻腔,而观察组采用曲安奈德浸泡敷料。比较两组患者的临床指标、治疗有效率、术后并发症、术前和术后6个月视觉模拟量表评分、慢性鼻窦炎的CT半定量评分(Lund-mackay Score,LMS)、鼻腔结果测试-20评分、嗅觉功能及生活质量情况。结果观察组治疗后的有效率高于对照组,差异有统计学意义(P<0.05);观察组患者视觉模拟评分和LMS评分均低于对照组,差异有统计学意义(P均<0.05);术前两组患者的嗅觉功能比较,差异无统计学意义(P>0.05),术后观察组内患者的嗅觉功能优于对照组,差异有统计学意义(P<0.05);两组患者的术前、术后生活质量对比,差异无统计学意义(P均>0.05);两组患者术后的生活质量优于术前,差异有统计学意义(P<0.05)。结论功能性鼻内镜手术联合曲安奈德填塞治疗对慢性鼻窦炎患者的治疗效果更好,促进鼻腔黏膜恢复,改善不适症状和嗅觉功能。
Objective To analyze and discuss the clinical effect of functional nasal endoscopic surgery combined with triamcinolone tamponade in patients with chronic sinusitis.Methods The clinical data of 62 patients with chronic si⁃nusitis who underwent surgery in the Department of Otorhinolaryngology,Xuzhou New Health Geriatric Hospital from July 2021 to December 2022 were retrospectively selected.They were divided into control group(n=30)and observa⁃tion group(n=32).All patients underwent functional nasal endoscopic surgery.On this basis,the control group was treated with normal saline dressing to fill the nasal cavity,while the observation group was treated with triamcinolone acetonide dressing.Clinical indicators,treatment effectiveness,postoperative complications,visual analog scale scores before and 6 months after surgery,semi-quantitative CT score(Lund-mackay Score)of chronic sinusitis,nasal out⁃come test-20 score,olfactic function and quality of life were compared between the two groups of patients.Results The effective rate of observation group after treatment was higher than that of control group,the difference was statisti⁃cally significant(P<0.05).Visual analog scores and LMS scores in observation group were lower than those in control group,and the differences were statistically significant(both P<0.05).There was no significant difference in olfactory function between the two groups before surgery(P>0.05),but the olfactory function in the observation group was better than that in the control group after surgery,and the differences were statistically significant(P<0.05).There was no significant difference in preoperative and postoperative quality of life between the two groups of patients(both P>0.05).The quality of life of the two groups after surgery were better than those before surgery,and the differences were statistically significant(both P<0.05).Conclusion Functional nasal endoscopic surgery combined with triamcinolone tamponade has a better therapeutic effect on patients with chronic sinusitis,promoting the recovery of nasal mucosa,improving discomfort symptoms and olfactory function.
作者
周展勋
褚波
曹磊
ZHOU Zhanxun;CHU BO;CAO Lei(Department of Otolaryngology,Xuzhou New Health Geriatrics Hospital,Xuzhou,Jiangsu Province,221000 China;Department of Head and Neck Surgery,Xuzhou Cancer Hospital,Xuzhou,Jiangsu Province,221000 China)
出处
《系统医学》
2024年第2期43-46,共4页
Systems Medicine
关键词
慢性鼻窦炎
功能性鼻内镜手术
曲安奈德
窦腔填塞
Chronic sinusitis
Functional nasal endoscopic surgery
Triamcinolone
Sinus tamponade
