功能性鼻内镜手术后术腔两种冲洗液对疗效的影响

Influence of postoperative nasal cavity rinse on the effect of functional endoscopic sinus surgery

目的探讨功能性鼻内镜手术后术腔冲洗应用改进的冲洗液对术腔恢复的影响。方法将我院耳鼻喉科2008年2至12月收住的302例确诊为慢性鼻窦炎患者随机分为对照组和实验组,均行功能性鼻内镜手术,术后在给予相同药物治疗的基础上行术腔冲洗。实验组为0.02%呋喃西林500 mL加复方薄荷油20 mL加地塞米松10 mg;对照组冲洗液为生理盐水50 mL加庆大霉素32万IU加地塞米松10 mg,依据内窥镜鼻窦手术疗效评定标准对两组患者症状改善及术腔恢复情况进行疗效评定。结果实验组和对照组行术腔冲洗前各组疾病分期、分型无统计学差异(P>0.05),术腔冲洗后实验组患者症状改善及术腔恢复情况明显优于对照组,差异有统计学意义(P<0.05)。结论呋喃西林、地塞米松和复方薄荷油冲洗液能有效改善功能性鼻内镜手术后患者的症状,促进患者术腔的恢复。

Objective To explore the influence of modified liquid for postoperative irrigation on the effect of functional endoscopic sinus surgery （FESS）. Methods Totally 302 cases with chronic sinusitis who had undergone the FESS and based on the same medication from February to December in 2008 were randomly divided into control group and experimental group to accept two different kinds of irrigation liq- uid. The control group with normal saline（NS） 500 mL ＋ gentamicin 32W IU ＋ dexamethasone 10 mg; experimental group with 0.02% ni- trofural 500 mL ＋ peppermint oil compound 20 mL ＋ dexamethasone 10 rag. The curative effect of the 2 groups was evaluated according to the evaluation index of endoscope sinus surgery. Results The staging and typing of disease before the nasal cavity rinse have no stattistie differ- ence（ P 〉 0.05 ） between control group and experimental group. The curative effect of experimental group was obviously better than the control group. The difference have statistical significance （ P 〈 0.05 ）. Conclusion The modified nasal cavity rinse can improve the symptom ef- fectively, the irrigation liquid can affect the effect of FESS.