超声引导下经颞下窝入路蝶腭神经节注射治疗变应性鼻炎效果分析

Analysis of the Effect of Ultrasound-guided Sphenopalatine Ganglion Injection through the Infratemporal Fossa in the Treatment of Allergic Rhinitis

目的分析超声引导下经颞下窝入路蝶腭神经节注射治疗变应性鼻炎的临床效果。方法于2018年10月—2020年1月方便选取240例变应性鼻炎患者为该项研究对象,参照分层抽样分组的方式将其分为对照组、实验组,每组120例。对照组采用常规药物治疗,实验组则给予超声引导下经颞下窝入路蝶腭神经节注射治疗,注射药物选用复方倍他米松和利多卡因,比较两种治疗方式的临床效果。结果治疗前,两组鼻塞、鼻痒、流涕和喷嚏等症状评分差异无统计学意义(P>0.05);治疗后,实验组上述各项症状评分均低于对照组,差异有统计学意义(P<0.05);治疗前,两组生活质量评分差异无统计学意义(P>0.05);治疗后,两组较治疗前评分均有所下降,且实验组评分明显低于对照组,差异有统计学意义(P<0.05);实验组不良反应发生率为5.00%,明显低于对照组13.33%,差异有统计学意义(χ^(2)=5.004,P<0.05)。结论对变应性鼻炎患者采用超声引导下经颞下窝入路蝶腭神经节注射治疗可以对病灶进行精确定位,从而有效缓解患者鼻塞、鼻痒、流涕和喷嚏等临床症状,减少不良反应的发生,在保障患者治疗安全性的同时也有助于改善患者的生活质量。

Objective To analyze the clinical effect of ultrasound-guided trans-infratemporal fossa approach sphenopalatine ganglion injection in the treatment of allergic rhinitis.Methods From October 2018 to January 2020,240 patients with allergic rhinitis were conveniently selected as the research objects,and they were divided into control group and experimental group with reference to the stratified sampling grouping method,with 120 cases in each group.The control group was treated with conventional drugs,and the experimental group was given ultrasound-guided trans-infratemporal fossa approach sphenopalatine ganglion injection therapy.The injection drugs were compound betamethasone and lidocaine.The clinical effects of the two treatments were compared.Results Before treatment,there was no statistically significant difference in the scores of symptoms such as nasal congestion,nasal itching,runny nose and sneezing between the two groups(P>0.05);after treatment,the above-mentioned symptoms scores of the experimental group were lower than those of the control group,and the differences were statistically significant(P<0.05).Before treatment,the difference in quality of life scores between the two groups was not statistically significant(P>0.05);after treatment,the scores of the two groups decreased compared with those before treatment,and the scores of the experimental group were significantly lower than those of the control group.There was statistical significance(P<0.05);the adverse reaction rate of the experimental group was 5.00%,which was significantly lower than the control group 13.33%,and the difference was statistically significant(χ^(2)=5.004,P<0.05).Conclusion Ultrasound-guided trans-infratemporal fossa approach sphenopalatine ganglion injection for patients with allergic rhinitis can accurately locate the lesion,thereby effectively alleviating the clinical symptoms of patients with nasal congestion,nasal itching,runny nose and sneezing,and reducing adverse reactions;the occurrence of this disease not only guarantees the safety of patients’treatment,but also helps to improve the quality of life of patients.