超声引导下蝶腭神经节阻滞对过敏性鼻炎的治疗效果

The therapeutic effect of ultrasound-guided sphenopalatine ganglion block on allergic rhinitiss

目的评估超声引导下蝶腭神经节阻滞对过敏性鼻炎的治疗效果。方法选取2022年1月至2023年12月期间长沙市中医医院(长沙市第八医院)收治的719例过敏性鼻炎患者作为研究对象,其中耳鼻喉科门诊接受舌下脱敏治疗的483例患者为对照组,另外236例患者在疼痛门诊接受超声引导下蝶腭神经节阻滞治疗作为观察组。所有患者均在治疗前、后进行鼻激发试验(NPT)评分和生活质量量表(QLS)评分,评估两组治疗效果并记录不良反应。结果两组患者治疗后1、3、6个月NPT评分均较治疗前改善(均P<0.05);治疗后1、3个月,观察组的NPT评分低于对照组,差异有统计学意义(均P<0.05);治疗后6个月,两组患者的NPT评分及治疗有效率差异无统计学意义(均P>0.05)。两组患者治疗后1、3、6个月QLS评分均较治疗前改善(均P<0.05);治疗后1、3个月,观察组的QLS评分低于对照组,差异有统计学意义(均P<0.05);治疗后6个月,两组患者的QLS评分差异无统计学意义(P>0.05)。治疗过程中,部分患者出现短暂的面部麻木、疼痛等不适,均在短时间内自行缓解。结论超声引导下蝶腭神经节阻滞对过敏性鼻炎具有较好的治疗效果,能较快改善患者的生活质量。

Objective To evaluate the therapeutic effect of ultrasound-guided sphenopalatine ganglion block on allergic rhinitis.Methods A total of 719 patients with allergic rhinitis admitted to Changsha Hospital of Traditional Chinese Medicine(Changsha Eighth Hospital)from January 2022 to December 2023 were selected as the study subjects.Among them,483 patients who received sublingual desensitization treatment in the otolaryngology outpatient department were selected as the control group,and 236 patients who received ultrasound-guided sphenopalatine ganglion block treatment in the pain outpatient department were selected as the observation group.All patients underwent Nasal Provocation Test(NPT)scores and Quality of Life Scale(QLS)scores before and after treatment to evaluate the treatment efficacy of both groups and record adverse reactions.Results The NPT scores of both groups of patients improved after treatment at 1,3,and 6 months compared to before treatment(all P<0.05);After 1 and 3 months of treatment,the NPT score of the observation group was lower than that of the control group,and the difference was statistically significant(all P<0.05);After 6 months of treatment,there was no statistically significant difference in NPT scores and treatment efficacy between the two groups of patients(all P>0.05).The QLSscores of both groups of patients improved after treatment at 1,3,and 6 months compared to before treatment(all P<0.05);After 1 and 3 months of treatment,the QLS score of the observation group was lower than that of the control group,and the difference was statistically significant(all P<0.05);After 6 months of treatment,there was no statistically significant difference in QLS scores between the two groups of patients(P>0.05).During the treatment process,some patients experienced brief facial numbness,pain,and other discomforts,which all resolved on their own within a short period of time.Conclusions Ultrasound guided sphenopalatine ganglion block has a good therapeutic effect on allergic rhinitis and can quickly improve the quality of life of patients.