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目的:观察健脾化浊通窍法联合鼻内镜手术治疗以涕多为主症鼻窦炎的临床效果。方法:以2013年3月~2015年5月我院耳鼻喉科收治的64例鼻窦炎患者为研究对象,随机数字表法分为观察组和对照组各32例,对照组行鼻内镜手术治疗,观察组在对照组基础另给予健脾化浊通窍方治疗,对两组治疗后临床疗效、术腔PH值、术后鼻腔黏液纤毛清除能力[黏液纤毛清除率、糖精清除时间、黏液纤毛清除速度]及生存质量[机体功能、情绪状态、心理状态、社会关系]进行观察比较。结果:治疗后观察组总有效率显著高于对照组,两组治疗后较治疗前术腔PH值均显著减小,黏液纤毛清除率、黏液纤毛清除速度显著增加,糖精清除时间显著缩短,具有统计学意义(P<0.05);且治疗后观察组较对照组PH值减小显著,黏液纤毛清除率、黏液纤毛清除速度均增加显著,糖精清除时间缩短显著,均具有统计学意义(P>0.05)。结论:健脾化浊通窍法联合鼻内镜手术对以涕多为主症鼻窦炎患者有较好的临床疗效,中药汤方可较好改善鼻内镜术后患者多涕症状,有效提高患者生存质量,值得临床推广。
Objective: To observe the clinical effects of combined therapy of spleen and phlegm-dampness and resuscitation method and endoscopic sinus surgery for the treatment of nasal polyps with sinusitis. Methods: From March 2013 to May 2015 in our hospital otolaryngology admitted 64 cases of sinusitis patients as subjects, random number table divided into observation group and control group, 32 cases in the control group underwent endoscopic sinus surgery The treatment group and the observation group were treated with Jianpi Huazhuo Tongqiao Decoction on the basis of the control group. The clinical curative effect, PH value of the cavity, postoperative mucociliary clearance ability [mucociliary clearance rate, saccharin clearance time, Removal rate] and quality of life [body function, emotional status, psychological status, social relations] were observed and compared. Results: After treatment, the total effective rate of the observation group was significantly higher than that of the control group. The PH value of the two groups was significantly reduced, the mucociliary clearance rate and mucociliary clearance rate were significantly increased, the saccharin clearance time was significantly shortened, (P <0.05). After treatment, the PH value of the observation group decreased significantly compared with that of the control group. The mucociliary clearance rate and mucociliary clearance rate increased significantly, and the time of saccharin clearance significantly shortened (P> 0.05). Conclusion: Jianpi Huazhuo Tongqiao method combined with endoscopic sinus surgery for patients with predominant rhinosinusitis have better clinical efficacy of traditional Chinese medicine Decoction can better postoperative nasal endoscopy symptoms of patients with multiple tears, effectively improve the patients Quality of life, it is worth clinical promotion.