鼻后滴漏综合征56例临床分析

Clinical Analysis for 56 Cases of Postnasal Drip Syndrome

目的：分析56例鼻后滴漏综合征患者的临床特点及其治疗效果。方法采用回顾性方法分析，选取我院自2011年1月至2014年1月以来收治的56例鼻后滴漏综合征患者的临床资料，所有患者行耳鼻咽喉常规检查、鼻内镜或鼻窦CT扫描，并根据患者临床特点给予对症治疗，观察临床治疗效果。结果56例鼻后滴漏综合征中有19（33.93%）例慢性鼻窦炎或鼻息肉；14（25.00%）例慢性鼻炎；10（17.86%）例变应性鼻炎；9（16.07%）例；4（7.14%）例慢性鼻咽炎。近期疗效（半年内）：总有效率为91.07%；远期疗效：随访6～30个月，4例复发，占7.14%。结论鼻后滴漏综合征患者病因较复杂，临床医师应查清病因，给予针对性治疗，才能提高临床疗效。

ObjectiveTo analyze the clinical characteristics and treatment of post-nasal drip syndrome of 56 cases.MethodsData of 56 patients with postnasal drip syndrome from January 2011 to January 2014 in our hospital were analyzed retrospectively. All patients underwent routine examination of otolaryngology, or endoscopic and sinus CT scanning and received symptomatic treatment and observed clinical effect.ResultsIn patients with 56 cases PNDs, chronic rhinosinusitis or nasal polyps in 19 patients（33.93%）, chronic rhinitis in 14 patients（25.00%）, allergic rhinitis in 10 patients（17.86%）, the adenoids in 9 patients（16.07%）, chronic nasopharyngitis in 4 patents（7.14%）. Short-term efifcacy（within six months）,the total effective rate was 91.07%. Long-term efifcacy（follow-up of 6-30 months）, there were 4 cases of recurrence, accounting for 7.14 percent.ConclusionAlthough the causes of postnasal drip syndrome is complicated, but clinicians should identify the cause, give targeted therapy to improve the clinical efifcacy.