慢性鼻-鼻窦炎术后综合治疗

Post-operative comprehensive treatment in patients with chronic rhinitis and rhino sinusitis

目的通过对慢性鼻-鼻窦炎鼻内镜术后两种随访情况的对比观察,探讨更为合理的随访治疗方案。方法对同期接受鼻内镜手术的各类慢性鼻-鼻窦炎369例,依据随访频率的不同,分为A、B两组,对比分析其转归情况。结果A组168例,6个月痊愈93例、好转72例、无效3例;12个月痊愈132例、好转36例、无效0例。B组201例,6个月痊愈42例、好转129例、无效30例;12个月痊愈72例、好转126例、无效3例。两组病情转归差异有统计学意义(2χ=55.01,P<0.01)。结论随访标准的不同会直接影响到术后综合治疗的调整和恰当实施,继而影响到慢性鼻-鼻窦炎的总体疗效。

Objectives To explore a more proper follow-up method through comparative observation of post-operative outcomes in two different follow-up groups of chronic rhinitis and rhino sinusitis. Methods The effective rate of the two groups was compared and analyzed according to the different follow-up methods. Results In group A, 93 cases were cured, 72 cases were improved and 3 cases had no effect during six month follow-up ; all cases were effective during twelve month follow-up （132 cases were cured and 36 cases were improved）. In group B, 42 cases were cured, 129 cases were improved and 30 cases had no effect during six month follow-up; 72 cases were cured, 126 cases were improved and 3 cases had no effect during twelve month follow-up. The effective rate between group A and B was significantly different （Х^2 = 55.01, P 〈 0.01 ）. Conclusion Different follow-up standards can affect readjustment and application of the post-operative comprehensive treatment, and thus affect the overall curative effect of chronic rhinitis and rhino sinusitis.