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目的探讨放射性鼻窦炎患者术后进行鼻腔冲洗的疗效。方法选择204例放射性鼻窦炎行鼻内镜手术的患者,随机分成冲洗组(102例)和未冲洗组(102例),冲洗组术后采用脉冲式冲洗、手动式冲洗方法,未冲洗组的患者仅用药物治疗。分别于术后2周、4周至12周后患者回院复查或电话随访记录患者头痛、鼻塞、鼻腔分泌物、嗅觉等症状改善情况并进行比较。结果鼻腔冲洗组在冲洗后12周临床症状明显优于未冲洗组(P<0.05)。结论放射性鼻窦炎患者术后进行鼻腔冲洗可提高患者治疗效果,减少并发症发生。
Objective To investigate the effect of nasal irrigation after radiotherapy for sinusitis patients. Methods A total of 204 patients with nasal endoscopic sinusitis undergoing endoscopic sinus surgery were randomly divided into two groups: the rinse group (102 cases) and the non-rinse group (102 cases). The patients in the rinse group were treated by pulsed rinse and manual rinse, Patients are treated with medication only. The symptoms of headache, nasal congestion, nasal secretions, olfactory and so on were recorded and compared in patients who returned to hospital or telephone after 2 weeks, 4 weeks to 12 weeks respectively. Results The clinical symptoms in nasal irrigation group at 12 weeks after rinsing were significantly better than those in non-rinsing group (P <0.05). Conclusions Radiation sinusitis postoperative nasal irrigation can improve the therapeutic effect of patients and reduce the incidence of complications.