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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

期数:

2017年04期

页码:

367-370

栏目:

论著

出版日期:

2017-05-20

文章信息/Info

Title:

Effect of nasal endoscopic sinus surgery for chronic rhinosinusitis with asthma in adults

作者:

周华磊;  李建兴;  张伟强

深圳市龙华新区中心医院耳鼻喉科，广东深圳518110

Author(s):

ZHOU Hua-lei;  LI Jian-xing;  ZHANG Wei-qiang

Department of Otolaryngology, Shenzhen Longhua New District Central Hospital, Shenzhen, Guangdong 518110, China Corresponding author: LI Jian-xing, E-mail: 3553674309@qq.com

关键词:

鼻窦炎; 鼻内镜; 鼻息肉; 哮喘

Keywords:

Rhinosinusitis;  Nasal endoscopy;  Nasal polyps;  Asthma

分类号:

R765；R562.25

DOI:

-

摘要:

目的研究鼻内镜术后成人慢性鼻―鼻窦炎（CRS） 患者整体疗效情况并进行分析。方法收集深圳市 龙华新区中心医院2013 年1 月至2015 年12 月收治的50 例CRS 伴哮喘患者，将其按照有无息肉分为息肉组24 例 和非息肉组26 例，在鼻内镜术后3 个月、12 个月进行随访比较两组疗效。结果鼻部症状VAS 评分和Lund- Kennedy评分方面，息肉组在术前明显高于非息肉组（P＜0.05）；术后3个月、12个月，两组VAS 评分和Lund- Kennedy 评分均较本组术前有明显降低，差异有统计学意义（P＜0.05）。两组患者术前的ACT 评分及哮喘用药 量无明显差异（P＞0.05）；术后3 个月、术后12 个月与术前相比较，两组患者ACT 评分及哮喘用药量明显降 低，差异均有统计学意义（P＜0.05）。结论成人CRS 患者在鼻内镜术后鼻部整体情况改善明显，合并息肉的 患者在1 年后随访改善程度比非息肉组的患者略差，鼻内镜术后患者的哮喘控制水平、哮喘用药量在短期内明显 改善。

Abstract:

Objective To study the effect of nasal endoscopic sinus surgery in adult patients with chronic rhinosinusitis and to analyze the curative effect. Methods A total of 50 patients with chronic rhinosinusitis and asthma admitted from Jan. 2013 to Dec. 2015 were divided into polyp group (n=24) and non-polyp group (n=26). After 3 months and 12 months of endoscopic sinus surgery, the curative effect of the two groups was compared. Results The VAS score and Lund- Kennedy score of the nasal symptoms in the polyp group were significantly higher than in the non-polyp group before surgery (P<0.05). At 3 months and 12 months afteroperation, the VAS score and Lund- Kennedy score of both groups were significantly lower than those before operation (P<0.05). There was no significant difference in ACT scores and asthma dosage between the two groups before surgery (P>0.05). At 3 months and 12 months afteroperation, the ACT scores and asthma dosage of both groups were significantly lower than those before operation (P<0.05). Conclusion Nasal endoscopic sinus surgery can significantly improve overall situation of the nose in adult patients with chronic rhinosinusitis and asthma, and the extent of follow-up is better in non-polyppatients than that in those polyp patients. The level of asthma control after endoscopic sinus surgery and the dosage for asthma are significantly improved in the short term.

参考文献/References:

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备注/Memo

备注/Memo:

作者简介：周华磊，本科，主治医师，研究方向：听力学及眩晕相关疾病 通信作者：李建兴，E-mail：3553674309@qq.com

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更新日期/Last Update: 2017-04-18