鼻腔末梢神经阻断术联合鼻内窥镜手术治疗78例变应性鼻炎患者的短、中期随访研究

Short-Term and Mid-Term Follow-Up Study of 78 Patients with Allergic Rhinitis Treated by Nasal NerveOcclusion Combined with Endoscopic Sinus Surgery

目的:应变性鼻炎患者采用鼻内窥镜手术联合鼻腔末梢神经阻断术治疗的临床效果。方法:随机将2014年1月~2017年1月治疗应变性鼻炎的78例患者分为两组,A组采用鼻内窥镜手术,B组在此基础上联合鼻腔末梢神经阻断术,比较两组的手术疗效。结果:B组患者的症状改善时间明显短于A组,术后半年、1年治疗总有效率明显高于A组,差异有统计学意义(P<0.05)。结论:鼻内窥镜手术联合鼻腔末梢神经阻断术治疗应变性鼻炎,能有效改善患者的临床症状,提高患者的临床疗效,促进患者术后康复。

Objective:The clinical effect of endoscopic sinus surgery combined with nasal nerve occlusion in patients with allergic rhinitis.Methods:The 78 patients who were treated for allergic rhinitis from January 2014 to January 2017 were randomly divided into two groups:group A was treated with endoscopic sinus surgery,and group B was treated with nasal nerve occlusion.The surgical effects of the two groups were compared.Results:The improvement time of symptoms in group B was significantly shorter than that in group A,and the total effective rate in half a year and one year after operation was significantly higher than that in group A,the difference was statistically significant(P<0.05).Conclusion:Endoscopic surgery combined with nasal nerve blockade in the treatment of strained rhinitis can effectively improve the clinical symptoms,improve the clinical efficacy of patients,and promote postoperative rehabilitation.