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目的:观察八珍汤加减方结合鼻内镜手术治疗慢性鼻-鼻窦炎的临床疗效。方法:选取120例慢性鼻-鼻窦炎患者作为研究对象,随机分为观察组、对照组各60例,对照组患者采用鼻内镜手术治疗,观察组在对照组治疗基础上联合八珍汤加减方治疗,观察比较两组患者的临床疗效。结果:治疗前,两组患者鼻塞、头面部胀痛、嗅觉评价差异无统计学意义(P>0.05);治疗后,两组患者各主要症状均有所改善,且观察组改善程度明显优于对照组,差异具有统计学意义(P<0.05)。治疗前,两组患者鼻腔整体情况无统计学意义(P>0.05),治疗后观察组鼻腔改善情况明显优于对照组,差异具有统计学意义(P<0.05)。结论:鼻内镜手术联合八珍汤加减方治疗慢性鼻-鼻窦炎疗效确切,可有效改善患者主要临床症状,提高鼻腔整体状况,值得临床推广应用。
Objective: To observe the clinical efficacy of Bazhen decoction combined with endoscopic sinus surgery for chronic rhinosinusitis. Methods: A total of 120 patients with chronic rhinosinusitis were selected as research object and randomly divided into observation group and control group with 60 cases each. The patients in control group were treated with endoscopic surgery. The observation group was treated with Bazhen decoction Fang treatment, observed and compared the clinical efficacy of two groups of patients. Results: Before treatment, there was no significant difference in nasal obstruction, head and face pain and olfactory evaluation between the two groups (P> 0.05). After treatment, the main symptoms of both groups were improved, and the improvement in the observation group was significantly better than Control group, the difference was statistically significant (P <0.05). Before treatment, there was no significant difference in the nasal cavity between the two groups (P> 0.05). After treatment, the improvement of nasal cavity in the observation group was significantly better than that in the control group (P <0.05). Conclusion: Endoscopic sinus surgery combined with Bazhen Decoction for the treatment of chronic rhinosinusitis is effective and can effectively improve the main clinical symptoms and improve the overall condition of the nasal cavity, which is worthy of clinical application.