儿童副鼻窦支气管炎治疗分析

Clinical observation and analysis of paranasal sinus bronchitis in children

目的探讨儿童副鼻窦支气管炎的治疗方法及疗效。方法对62例儿童副鼻窦支气管炎患儿治疗方法进行回顾性分析。常规治疗组(23例)应用抗生素等治疗;常规加局部治疗组(39例)采用常规治疗的同时给予鼻腔吸入激素、鼻窦穿刺、腺样体和扁桃体手术等局部治疗。结果常规治疗组和常规加局部治疗组治疗8周以上的总有效率分别为86.96%和100.00%,在疗程4～8周的有效率分别为39.13%和61.54%,常规治疗组与常规加局部治疗组在总有效率和疗程4～8周有效率的差异均有统计学意义(P<0.05),两组各自的总有效率与4～8周有效率之间的差异也均有统计学意义(P<0.05)。结论治疗儿童副鼻窦支气管炎应在规范化用药的同时积极治疗和正确处理鼻腔、鼻窦及咽部等局部病变才能取得最佳效果;对反复发作、病程较长的患儿疗程应适当延长。

Objectives To investigate the treatment and curative effect on paranasal sinuses and bronchitis in children.Methods Treatment of 62 cases of paranasal sinuses and bronchiolitis was retrospectively analyzed.Antibiotics was used in conventional treatment group（n=23）.On top of conventional treatment,conventional plus topical treatment group（n=39） was additionally treated with nasal inhaled corticosteroids,sinus puncture,adenoid or tonsil surgery,etc.Results In conventional treatment group and conventional plus topical treatment group,the total effective rate of treatment for more than 8 weeks was 86.96% and 100.00% respectively,the effective rate for those treated for 4-8 weeks was 39.13% and 61.54% respectively.There was significant difference in the effective rate of treatment for more than 8 weeks and for 4-8 weeks（bothP＆lt;0.05） between two groups.Significant difference also existed between the effective rate of treatment for more than 8 weeks and for 4-8 weeks（P＆lt;0.05） in each group.Conclusions Childhood sino-bronchitis should be treated not only with conventional treatment,but also with correct topical treatment for local pathological changes in nasal sinus and nasopharynx.Longer treatment is needed for children with recurrent chronic sino-bronchitis.