鼻窦炎鼻内镜术后不同鼻腔冲洗方法效果比较

Comparison on the efficacy of different nasal irrigation methods after endoscopic sinus surgery

目的比较鼻窦炎鼻内镜术后应用一次性鼻腔冲洗器与负压鼻腔冲洗的效果。方法 60例慢性鼻窦炎患者随机分为冲洗器组和负压组,各30例。鼻窦炎鼻内镜术后,冲洗器组采用鼻腔冲洗器冲洗鼻咽部,负压组采用负压鼻腔冲洗法冲洗鼻腔。评价2组鼻咽黏膜反应、鼻腔冲洗舒适度及鼻腔冲洗呼吸道反应。结果冲洗器组患者鼻咽黏膜反应及舒适度均优于负压组,差异有统计学意义(Z=5.077,P <0.001; Z=2.695,P=0.035)。鼻腔冲洗1周,冲洗器组呼吸道反应发生率为33.33%(10/30),低于负压组的66.67%(20/30),差异有统计学意义(χ~2=7.665,P <0.001)。结论采用一次性鼻腔冲洗器冲洗鼻咽操作简单,鼻咽黏膜反应、呼吸道反应轻,且舒适度高,值得临床推广。

Objective To compare the efficacy of single-use nasal irrigator and negative pressure nasal irrigation after endoscopic sinus surgery.Methods Totally 60 patients with chronic nasosinusitis were randomly divided into irrigator group(n = 30) and negative pressure group(n = 30).After endoscopic sinus surgery,the nasopharyngeal irrigation was conducted by nasal irrigator in irrigator group,and the nasal cavity was irrigated by negative pressure nasal irrigation method.The nasopharyngeal mucosal reactions,comfort level and respiratory reactions of nasal irrigation were all evaluated between two groups.Results Both the nasopharyngeal mucosal reaction and comfort level in irrigator group were superior to those in negative pressure group,and the significant differences were shown(Z = 5.077,P < 0.001; Z = 2.695,P = 0.035).Within one week of nasal irrigation,the incidence of respiratory reactions in irrigator group was 33.33%(10/30),lower than 66.67%(20/30) in negative pressure group(χ~2= 7.665,P < 0.001).Conclusion For nasopharyngeal irrigation,single-use nasal irrigator has the characteristics of simple operation,mild nasopharyngeal mucosal reactions and respiratory reactions as well as high comfort level,so it deserves to be popularized in clinic.