鼻中隔矫正术及下鼻甲部分切除术治疗变应性鼻炎临床效果分析
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摘要
目的探讨鼻中隔矫正术及下鼻甲部分切除术联用治疗变应性鼻炎的效果。方法选择我院2014年5月~2015年5月收治的200例变应性鼻炎患者,采用不同的方法进行治疗,实验组采用鼻中隔矫正术及下鼻甲部分切除术联用,而对照组采用传统方法-口服抗过敏鼻炎药物与鼻用激素联用进行治疗。根据患者治疗后4周和1年的复查情况,统计患者病情的改善及并发症情况。结果实验组患者的改善情况明显优于对照组,而满意度调查中,医护人员满意度和治疗过程满意度差异无统计学意义,但是两组患者的治疗结果满意度比较,实验组明显优于对照组,差异有统计学意义(P<0.05)。与对照组比较,实验组患者并发症情况得到显著改善,哮喘、结膜炎、慢性鼻窦炎、腺样体肥大的患者显著减少,差异有统计学意义(P<0.05)。结论采用鼻中隔矫正术及下鼻甲部分切除术联用治疗变异性鼻炎疗效好,值得推广和使用。
Objective To discuss the effect of the combined use of nasal septum surgery combined with partial inferior turbinectomy in the treatment of allergic rhinitis. Methods 200 patients with allergic rhinitis who were admitted to our hospital from May 2014 to May 2015 were treated with different methods. The experiment group was treated with the combined use of nasal septum correction surgery and partial inferior turbinectomy, while the control group was given the traditional method--combined use of oral anti-allergy rhinitis drugs and nasal steroids for treatment. According to the follow-up conditions of patients 4 weeks and 1 year after the treatment, patients' improvement was statistically investigated and patients' complications were statistically analyzed. Results The improvement in the experiment group was significantly better than that in the control group. In the satisfaction survey, there was no significant difference between the satisfaction degree of the medical staff and the satisfaction degree of the treatment process, but in the comparison of the satisfaction degree towards the treatment results between the two groups of patients, the experiment group was significantly better than that in the control group, and the results were statistically significant(P<0.05). At the same time, compared with the control group, the complications in the experiment group were significantly improved, and the number of patients with asthma, conjunctivitis, chronic sinusitis, adenoid hypertrophy was significantly reduced, the differences were statistically significant(P<0.05). Conclusion The combined use of nasal septum correction surgery and partial inferior turbinectomy is a good method for the treatment of allergic rhinitis, which is worthy of promotion and application.
Objective To discuss the effect of the combined use of nasal septum surgery combined with partial inferior turbinectomy in the treatment of allergic rhinitis. Methods 200 patients with allergic rhinitis who were admitted to our hospital from May 2014 to May 2015 were treated with different methods. The experiment group was treated with the combined use of nasal septum correction surgery and partial inferior turbinectomy, while the control group was given the traditional method--combined use of oral anti-allergy rhinitis drugs and nasal steroids for treatment. According to the follow-up conditions of patients 4 weeks and 1 year after the treatment, patients' improvement was statistically investigated and patients' complications were statistically analyzed. Results The improvement in the experiment group was significantly better than that in the control group. In the satisfaction survey, there was no significant difference between the satisfaction degree of the medical staff and the satisfaction degree of the treatment process, but in the comparison of the satisfaction degree towards the treatment results between the two groups of patients, the experiment group was significantly better than that in the control group, and the results were statistically significant(P<0.05). At the same time, compared with the control group, the complications in the experiment group were significantly improved, and the number of patients with asthma, conjunctivitis, chronic sinusitis, adenoid hypertrophy was significantly reduced, the differences were statistically significant(P<0.05). Conclusion The combined use of nasal septum correction surgery and partial inferior turbinectomy is a good method for the treatment of allergic rhinitis, which is worthy of promotion and application.
引文
[1]陈静,尤易文,严勇兵,等.经鼻内镜鼻中隔矫正下鼻甲部分切除治疗难治性变应性鼻炎的疗效[J].实用医学杂志,2013,29(24):4087-4089.
[2]张华贵,刁建平,余成云.鼻中隔偏曲合并下鼻甲肥厚75例鼻内镜手术治疗体会[J].赣南医学院学报,2011,31(6):769.
[3]王旻,邢志敏,袁晓培,等.改良鼻中隔缝合联合等离子下鼻甲消融在鼻中隔偏曲矫正术中的选择性应用[J].中国耳鼻咽喉头颈外科,2011,12(10):541-543.
[4]赵婉,孙敬武,王亚林,等.鼻阻力客观检查在评估鼻中隔及下鼻甲矫正手术疗效中的意义[J].中华耳鼻咽喉头颈外科杂志,2012,47(2):132-136.
[5]王旻,邢志敏,袁晓培,等.鼻中隔缝合与鼻腔填塞在鼻中隔偏曲矫正术中的效果比较[J].临床耳鼻咽喉头颈外科杂志,2011,25(23):1068-1070.
[6]王婷,罗永海.超声聚焦刀聚焦、鼻中隔偏曲矫正术联合下鼻甲骨折外移术治疗AR伴鼻中隔偏曲[J].山东医药,2013,53(23):75-76.
[7]张新红,裴华,古丽巴哈,等.两种下鼻甲手术方式对慢性肥厚性鼻炎(骨质肥厚)治疗效果的影响比较[J].中国社区医师:医学专业,2011,13(32):162.
[8]苏英锋,孙秀珍,刘迎曦,等.鼻中隔矫正术或联合下鼻甲骨折外移术对鼻腔模拟气流场及气道结构影响的分析[J].中华耳鼻咽喉头颈外科杂志,2011,46(2):96-100.
[9]张家雄,邹文焘,蔡晓菁,等.鼻中隔偏曲矫正术伴与不伴下鼻甲部分切除术对患者术后鼻腔通气功能的影响[J].山东大学耳鼻喉眼学报,2012,26(6):38-40.
[10]托尔功江,贾军,江华.鼻内镜下同期施行鼻中隔矫正及中、下鼻甲手术治疗非炎症性鼻源性头痛[J].临床耳鼻咽喉头颈外科杂志,2011,25(2):86-88.
[11]徐海峰,徐伟,廖佳钰.改良鼻丘径路额窦开放为主修正手术联合中鼻甲全部或部分切除在难治性鼻窦炎治疗中的应用效果[J].蚌埠医学院学报,2016,41(8):1064-1067.
[12]宋西成,陈秀梅.功能性鼻内镜手术中下鼻甲的处理及应用[J].山东大学耳鼻喉眼学报,2011,25(5):41-45.
[13]张颖.鼻中隔偏曲矫正术伴与不伴下鼻甲部分切除术对患者术后鼻通气功能的影响[J].中国保健营养旬刊,2014,24(7):3782.
[14]刘胜刚.鼻内镜下鼻中隔下鼻甲联合手术治疗鼻腔结构异常172例[J].临床医学,2012,32(1):98-99.
[15]李雷.鼻中隔矫正术及下鼻甲部分切除术治疗变应性鼻炎临床效果观察[J].中国保健营养旬刊,2013,23(10):5563.
[2]张华贵,刁建平,余成云.鼻中隔偏曲合并下鼻甲肥厚75例鼻内镜手术治疗体会[J].赣南医学院学报,2011,31(6):769.
[3]王旻,邢志敏,袁晓培,等.改良鼻中隔缝合联合等离子下鼻甲消融在鼻中隔偏曲矫正术中的选择性应用[J].中国耳鼻咽喉头颈外科,2011,12(10):541-543.
[4]赵婉,孙敬武,王亚林,等.鼻阻力客观检查在评估鼻中隔及下鼻甲矫正手术疗效中的意义[J].中华耳鼻咽喉头颈外科杂志,2012,47(2):132-136.
[5]王旻,邢志敏,袁晓培,等.鼻中隔缝合与鼻腔填塞在鼻中隔偏曲矫正术中的效果比较[J].临床耳鼻咽喉头颈外科杂志,2011,25(23):1068-1070.
[6]王婷,罗永海.超声聚焦刀聚焦、鼻中隔偏曲矫正术联合下鼻甲骨折外移术治疗AR伴鼻中隔偏曲[J].山东医药,2013,53(23):75-76.
[7]张新红,裴华,古丽巴哈,等.两种下鼻甲手术方式对慢性肥厚性鼻炎(骨质肥厚)治疗效果的影响比较[J].中国社区医师:医学专业,2011,13(32):162.
[8]苏英锋,孙秀珍,刘迎曦,等.鼻中隔矫正术或联合下鼻甲骨折外移术对鼻腔模拟气流场及气道结构影响的分析[J].中华耳鼻咽喉头颈外科杂志,2011,46(2):96-100.
[9]张家雄,邹文焘,蔡晓菁,等.鼻中隔偏曲矫正术伴与不伴下鼻甲部分切除术对患者术后鼻腔通气功能的影响[J].山东大学耳鼻喉眼学报,2012,26(6):38-40.
[10]托尔功江,贾军,江华.鼻内镜下同期施行鼻中隔矫正及中、下鼻甲手术治疗非炎症性鼻源性头痛[J].临床耳鼻咽喉头颈外科杂志,2011,25(2):86-88.
[11]徐海峰,徐伟,廖佳钰.改良鼻丘径路额窦开放为主修正手术联合中鼻甲全部或部分切除在难治性鼻窦炎治疗中的应用效果[J].蚌埠医学院学报,2016,41(8):1064-1067.
[12]宋西成,陈秀梅.功能性鼻内镜手术中下鼻甲的处理及应用[J].山东大学耳鼻喉眼学报,2011,25(5):41-45.
[13]张颖.鼻中隔偏曲矫正术伴与不伴下鼻甲部分切除术对患者术后鼻通气功能的影响[J].中国保健营养旬刊,2014,24(7):3782.
[14]刘胜刚.鼻内镜下鼻中隔下鼻甲联合手术治疗鼻腔结构异常172例[J].临床医学,2012,32(1):98-99.
[15]李雷.鼻中隔矫正术及下鼻甲部分切除术治疗变应性鼻炎临床效果观察[J].中国保健营养旬刊,2013,23(10):5563.