慢性鼻窦炎患者鼻内镜术后康复治疗分析

Rehabilitation Therapy after Nasal Endoscopic Surgery for Chronic Sinusitis

目的分析慢性鼻窦炎经鼻内镜手术后影响疗效的因素,并探讨其预防措施。方法对因慢性鼻窦炎接受鼻内镜手术,随访3年以上的60例患者从职业、个人生活习惯、术后是否坚持系统的康复治疗等方面进行回顾性分析。结果从事接触刺激性物质或粉尘的职业、具有不良生活习惯、术后不能坚持系统康复治疗的患者与不具有前述"特质"的患者鼻窦炎复发的可能性明显居高,其中尤以系统康复治疗对术后转归影响最显著。结论术后足够疗程的系统康复治疗是提高慢性鼻窦炎经鼻内镜手术疗效的有力措施,良好的职业保护和戒除不良生活习惯能有效地预防慢性鼻窦炎经鼻内镜手术后的复发。

Objective To analyze the possible factors affecting the results of nasal endoscopic surgery in chronic sinusitis and to discuss the ways to improve the results of operation. Methods Retrospective analysis was done in 60 patients followed up more than 3 year. The analysis was focused on patients occupation, personal habits, extent of persisting on rehabilitation therapy after operation and clinical recovery status. Results The patients, who work in the environment rich of irritating substance and dust, the patients having unhealthy habits and the patients who did not take or insist on rehabilitation therapy after operation had higher frequency of relapse and quicker recurrence. Rehabilitation therapy was the most important factor affecting the results of operation. Conclusion Insisting on systemic rehabilitation therapy after operation is a powerful way to improve the results of nasal endoscopic surgery in chronic patients. Good occupation protection and kicking the unhealthy personal habits can prevent and reduce the recurrence of chronic sinusitis after nasal endoscopic surgery.