参苓盥洗液治疗慢性鼻-鼻窦炎20例临床观察

Clinical efficacy of Shenling lavage fluid in treatment of chronic rhinitis-sinusitis:a report of 20 cases

目的:观察参苓盥洗液治疗肺脾气虚型慢性鼻-鼻窦炎的临床疗效。方法:将60例肺脾气虚型慢性鼻-鼻窦炎患者,随机分为3组,在相同基础治疗上,治疗组20例采用由参苓白术散加减而成的盥洗液盥洗鼻窦鼻腔,对照1组20例采用以林可霉素为主配置而成的西药灌洗液盥洗鼻窦鼻腔,对照2组20例采用3%高渗盐水进行鼻窦鼻腔盥洗。3组均治疗10d后观察比较视觉模拟量表(VAS)评分与Lund-kennedy评分的变化。结果:3组治疗后VAS评分、Lund-kennedy评分比较,治疗组均优于对照1、2组,差异均有统计学意义(P<0.05)。结论:慢性鼻-鼻窦炎患者采用参苓盥洗液治疗,疗效满意。

Objective ：To observe the clinical efficacy of Shenling lavage fluid in the treatment of chronic rhinitis - sinusitis with qi deficiency of lung and spleen. Methods ： Sixty chronic rhinitis - sinusitis patients with qi deficiency of lung and spleen were randomly divided into treatment group（ n = 20）and first and second control groups（ n =20 for each）. In addition to basic treatment, the lavage fluid prepared from modified Shenling Baizhu powder, the lavage fluid prepared mainly from lincomycin, and 3 % hypertonic saline were used for washing the paranasal sinus and nasal cavity in the treatment group, first control group, and second control group, respectively. After 10 d of treat- ment, the treatment outcomes of the three groups were evaluated based on visual analog scale （VAS） and Lund- ken- nedy scores. Results ： After treatment, the treatment group had a significantly better outcome than the first and second control groups in terms of VAS and Lund- kennedy scores（P 〈0. 05 ）. Conclusion：Shenling lavage fluid has satis- factory efficacy in the treatment of chronic rhinitis - sinusitis.