摘要
目的探讨鼻内窥镜手术治疗慢性鼻-鼻窦炎(CRS)的临床疗效及护理观察。方法选择该院耳鼻咽喉科2015年1-6月接受CRS治疗的患者90例,分为45例鼻内窥组(观察组)和45例常规手术组(对照组),比较2组患者的术后治疗效果、鼻症状、鼻功能及生活质量。结果 2组患者术后6个月均有较好的疗效,且观察组患者的治疗有效率明显高于对照组(χ~2=4.276,P=0.023)。2组患者术后的鼻症状指标均显著低于术前,获得较好的改善效果。观察组患者术后的各项鼻症状指标在各时间段均显著低于对照组,差异有统计学意义(t=4.683,P=0.001)。观察组患者鼻阻力值、鼻黏膜白细胞介素-5(IL-5)水平及黏膜炎性细胞水平等均显著低于对照组(t=3.761,P=0.002;t=3.844,P=0.013;t=3.572,P=0.024)。术后不同时间段2组患者在生活质量方面均有改善,观察组患者的评分在术后3、6个月明显高于对照组(t=3.572,P=0.033;t=3.911,P=0.016)。结论鼻内窥镜手术对于CRS具有快速、有效、分辨率高及特异性好的优点,具有较高的临床应用价值。
Objective To explore the clinical curative effect and the nursing observation of the nasal endoscopic surgery in patients with chronic rhinosinusitis（CRS）,providing the effective basis of the clinical treatment for the CRS.Methods 90 patients with CRS in the otolaryngology received in our hospital from Jan.2015 to Jun.2015 were selected as the observation subjects.The patients were divided into the nasal endoscopic group（observation group,45 cases）and the conventional surgery group（control group,45 cases）according to the number table method.And to evaluate the postoperative treatment,the nasal symptoms,function and quality of life in the two groups of patients.Results The curative effect was good to the two groups of patients with postoperative after 6 months,and the efficient treatment of the observation group was obviously higher than that of the control group（χ^2=4.276,P=0.023）.The nasal symptom index were significantly lower than that before the surgery in the two groups of patients with postoperative,getting the better effect of nasal symptoms.And the nasal symptom indexs in each period were significantly lower in the observation group of patients with postoperative than that in the control group,and the difference was statistically significant（t=4.683,P=0.001）.The nasal function indexs were significantly lower in the observation group of patients than the control group,such as the nasal resistance value,the number of IL-5in the nasal mucosa and the mucosal inflammatory cells（t=3.761,P=0.002;t=3.844,P=0.013,t=3.572,P=0.024）.The two groups of patients were improved in terms of quality of life in the different times after the surgery,and the score in the observation group was significantly higher on the 3months and 6months after the surgery than that in the control group（t=3.572,P=0.033;t=3.911,P=0.016）.Conclusion The nasal endoscopic surgery has the characteristics of fast,efficient,high resolution and good specificity,with high clinical value for the clinical effect of CRS.
出处
《检验医学与临床》
CAS
2017年第4期528-530,共3页
Laboratory Medicine and Clinic
