鼻内窥镜手术联合药物治疗慢性鼻窦炎临床疗效观察

Clinical observation of endoscopic sinus surgery combined with drugs in the treatment of chronic sinusitis

目的研究鼻内窥镜手术联合药物治疗慢性鼻窦炎的临床疗效。方法选择2018年1月至2021年1月在我科进行治疗的150例患者,运用随机的方法区成2组,每组75例,对照组单纯运用手术的方案开展治疗,试验组于鼻内窥镜手术后给予药物治疗,比较2组临床疗效、血清炎症因子水平、主观症状评分及睡眠质量评分。结果①试验组有效率高于对照组(P<0.05);②治疗2组炎症指标、症状评分与睡眠状况的差异无统计学意义(P>0.05);在采取治疗措施之后,试验组各项指标差异具有统计学意义(P<0.05)。结论手术联用药物的方案,有助于实现较好的血清炎症因子状态,可取得良好的疗效,为慢性鼻窦炎手术治疗的后期标准制定提供了借鉴。

Objective To explore the clinical effect of endoscopic sinus surgery combined with drugs on chronic sinusitis.Methods One hundred and fifty patients treated in our department from January 2018 to January 2021 were selected and randomly divided into the control group and the test group(n=75).The control group was treated by surgery alone,while the test group was treated with drugs after nasal endoscopic surgery.The clinical efficacy,serum inflammatory factor level,subjective symptom score and sleep quality score of the two groups were compared.Results Compared with the control group,the test group had a significant advantage in the effective rate data(P<0.05).Before treatment,there was no difference between the two groups in inflammatory indexes,symptom scores and sleep status(P>0.05).After taking treatment measures,all indicators of the test group had significant advantages,and the data difference between the two groups was statistically significant(P<0.05).Conclusion The scheme of surgery combined with drugs can help to achieve a better serum inflammatory factor status,and the final treatment effect has a significant advantage over that of surgery alone.It has achieved a good effect.