难治性慢性鼻-鼻窦炎的综合治疗

Clinical comprehensive treatment of refractory chronic rhinosinusitis

目的:探讨难治性慢性鼻-鼻窦炎的临床综合疗法及效果。方法:对32例难治性鼻-鼻窦炎患者采取个体化的综合治疗方案,即合理健康饮食、适度锻炼、心理疏导治疗、合理手术及换药、用药等。结果:所有患者随访6个月以上,病情完全控制26例(81.3%),部分控制6例(18.7%);总有效率为100%。结论:在目前慢性鼻-鼻窦炎的病因学、发病机制的研究还没有取得突破性进展,还没有研制出新的有效治疗药物的情况下,对难治性鼻-鼻窦炎患者内因和外因同时治疗,采取合理健康饮食、适度锻炼、心理疏导、合理手术及换药、用药等综合治疗,可取得较好的疗效。

Objective：To study the methods and efficacy of comprehensive treatment on refractory chronic rhi- nosinusitis（CRS）. Method： Thirty-two cases of patients with refractory rhinosinusitis took part in individualized comprehensive treatment program, that is, a healthy diet and moderate exercise, psychological counseling, and reasonable operation and gauze changing, and rational use of drug therapy. Result：All patients were followed up for 6 months or more, 26 cases （81.3%） were completely controlled of the disease, 6 cases （18.7%） were partially controlled~ the total effective rate was 100%. Conclusion：In the current situation that CRS etiology and pathogenesis studies have not yet made a breakthrough, and we have not developed a new and effective drug,comprehensive treatment focusing on internal and external factors of refractory rhinosinusitis at the same time, that is, to take a rational healthy diet, moderate exercise, psychological counseling, and reasonable operation and gauze changing, and rational use of drug therapy ect. can obtain better effect.