相同温度下采用不同鼻腔冲洗液对鼻腔粘膜愈合的影响

Effect of irrigation by different liquids at the same temperature on nasal mucosal healing

目的观察35~38℃的不同鼻腔冲洗液对鼻内镜手术后粘膜愈合的影响。方法选取我院140例行鼻内镜手术的慢性鼻窦炎患者随机分为试验组和对照组。两组都采用点邦鼻腔冲洗器进行鼻腔冲洗,试验组采用的冲洗液为35~38℃点邦鼻腔洗剂冲洗剂结合生理盐水;对照组冲洗液为35~38℃温水。对比两组病人术后的鼻腔清洁、鼻黏膜愈合速度及病人舒适度等。患者恢复程度的评估采用Lund-Kennedy评分和鼻腔鼻窦结局测试-20(SNOT-20)量表。结果试验组鼻腔清洁和鼻黏膜愈合情况都明显优于对照组,且该组病人感觉更舒适。结论鼻内镜手术后的病人,选用35~38℃的点邦鼻腔洗剂结合生理盐水进行鼻腔冲洗,更有利于其炎症的吸收和鼻腔黏膜的愈合,且使病人感觉舒适。

Objective To observe the healing of nasal mucosa after endoscopic sinus surgerywhen irrigated by different liquids at 35-38℃.Methods One hundred and forty patients with chronic sinusitis who underwent nasal endoscopic surgery in our hospital were randomly divided into the experimental group and the control group.B oth groups were treated with Dianbang nasal irrigator for nasal irrigation.In the experimental group,the irrigation liquid was 35-38℃Dianbang nasal irrigation liquid and normal saline.The irrigation liquid of the control group was warm water at 35-38℃.The postoperative cleaning of nasal cavity,healing speed of nasal mucosa and patient comfort were compared between the two groups.The degree of recovery was estimated by the Lund-Kennedy scale and the sino-nasal outcome test-20(SNOT-20).Results The recovery of patients of the experimental group is significantly better than that of the control group,and patients of this group feel more comfortable.Conclusion Nasal irrigation by Dian Bang nasal irrigation fluid at 35-38℃can help accelerate the recovery of nasal mucosa and make patients feel comfortable.