鼻中隔偏曲合并变应性鼻炎的手术治疗效果分析

Analysis of Surgical Treatment of Nasal Septal Deviation and Allergic Rhinitis

目的分析手术治疗鼻中隔偏曲合并变应性鼻炎的临床效果。方法选取自2010年1月—2019年6月该院收治的80例鼻中隔偏曲合并变应性鼻炎的患者作为研究对象,随机进行分组,根据治疗方法的不同,把使用保守治疗的40例患者设为对照组,把使用鼻内镜手术治疗的40例患者设为观察组,比较两组患者的症状改善情况、症状改善时间、住院时间、并发症发生率以及半年后的复发率。结果在症状得分的对比上,观察组与对照组:流涕:(0.24±0.01)分vs (1.67±0.14)分(t=10.32,P<0.05)、打喷嚏(0.21±0.03)分vs (1.59±0.13)分(t=9.56,P<0.05)、鼻塞(0.19±0.01)分vs (2.01±0.04)分(t=15.36,P<0.05)、鼻痒(0.23±0.04)分vs (1.53±0.14)分(t=11.23,P<0.05);在症状改善时间和住院时间的对比上,观察组与对照组:流涕(2.01±0.45)d vs (5.26±1.24)d(t=23.02,P<0.05)、打喷嚏(1.62±0.31)d vs (4.19±2.23)d(t=5.26,P<0.05)、鼻塞(1.36±0.05)d vs (4.31±1.24)d(t=5.20,P<0.05)、鼻痒(1.53±0.34)d vs(3.53±2.24)d(t=6.57,P<0.05)、住院时间(4.23±1.56)d vs (8.63±2.60)d(t=5.45,P<0.05);在复发率的对比上,观察组与对照组:2.5%vs 15.0%(χ~2=3.97,P<0.05)。可见,观察组无论是症状改善情况、改善时间、住院时间还是复发率,都明显优于对照组。结论对鼻中隔偏曲合并变应性鼻炎的治疗,使用手术治疗的方式临床效果更为显著,患者的症状改善所需时间更少,所需住院时间也少,没有太多并发症,安全性高,且复发率低,能够有效提高患者的生活质量。

Objective To analyze the clinical effect of surgical treatment of nasal septal deviation with allergic rhinitis.Methods Eighty patients with nasal septal deviation and allergic rhinitis admitted in the hospital from January 2010 to June 2019 were selected as the research subjects,and they were randomly divided into two groups.According to different treatment methods,40 patients using conservative treatment were set as control group,40 patients treated with nasal endoscopic surgery were set as the observation group,and the symptom improvement,symptom improvement time,hospitalization time,complication rate and recurrence rate after six months were compared between the two groups.Results On the comparison of symptom scores,the observation group and the control group:runny nose:(0.24±0.01)points vs(1.67±0.14)points(t=10.32,P<0.05),sneezing(0.21±0.03)points vs(1.59±0.13)points(t=9.56,P<0.05),nasal congestion(0.19±0.01)points vs(2.01±0.04)points(t=15.36,P<0.05),nasal itching(0.23±0.04)points vs(1.53±0.14)points(t=11.23,P<0.05);on the comparison of symptom improvement time and hospital stay,the observation group and the control group:runny(2.01±0.45)d vs(5.26±1.24)d(t=23.02,P<0.05),sneezing(1.62±0.31)d vs(4.19±2.23)d(t=5.26,P<0.05),nasal congestion(1.36±0.05)d vs(4.31±1.24)d(t=5.20,P<0.05),itchy nose(1.53±0.34)d vs(3.53±2.24)d(t=6.57,P<0.05),hospital stay(4.23±1.56)d vs(8.63±2.60)d(t=5.45,P<0.05);In contrast,the observation group and the control group:2.5%vs 15.0%(χ~2=3.97,P<0.05).It can be seen that the observation group was significantly better than the control group in terms of symptom improvement,improvement time,hospital stay or relapse rate.Conclusion For the treatment of nasal septal deviation and allergic rhinitis,the clinical effect of using surgical treatment is more significant.The patient’s symptom improvement takes less time,the hospitalization time is less,there are not too many complications,and the safety is high,and the recurrence rate is low,which can effectively improve the quality of life of patients.