慢性鼻窦炎内镜术后两种浓度盐水鼻腔冲洗的效果分析

Comparision of the effect of nasal douche with two kinds different concentration saline water after endoscopic technique

目的分析慢性鼻窦炎内镜术后两种浓度盐水鼻腔冲洗的效果。方法将2006年6月至2007年12月在本院手术治疗的54例慢性鼻窦炎鼻内镜手术的术后患者随机分为生理盐水组和高渗盐水组,两组患者术后分别用生理盐水和高渗盐水冲洗鼻腔,观察随访6个月以上,分析两组疗效。结果术后两组盐水冲洗治疗的治愈率、总有效率差异无统计学意义(P>0.05)。结论用两种浓度的盐水在鼻内镜手术后做鼻腔冲洗,均可以冲出鼻腔中的血凝块、鼻腔鼻窦的分泌物、白细胞和与之黏附在一起的纤维素性渗出物,促进创口愈合,帮助消除黏膜水肿。该方法安全、方便、价廉。

Objective To study the effect of nasal douche with two kinds different concentration saline water after endoscopic technique. Methods From the June 2006 to the December 2007,54 patients with chronic sinusitis after endoscopic sinus surgery were randomly divided into two groups： normal saline group and hypertonic saline group. The patients in two groups respectively nasal douche with normal saline and hypertonic saline nasal wash, then follow-up observation for more than half a year and the anal ysis of the effect of the two groups. Results The healing rate and the total effective rate of two groups had no significant difference （P〉0. 05）. Conclusion The saline water of two concentrations can wash away the blood clot in the nasal cavity,nasal sinus secre- tions,and leukocyte adhesion together with the exudates of cellulose,which can promote the wound healing and help eliminate the mucosal edema. This is a safe,convenient way. In particular, the self-made hypertonic saline is worth promoting, which is low-cost and lower health care costs.