Dhong H J, Jung Y S, Chung S K, Choi D C
Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea.
Otolaryngol Head Neck Surg. 2001 Jan;124(1):99-104. doi: 10.1067/mhn.2001.111596.
There have been several reports on the effectiveness of endoscopic sinus surgery (ESS) in asthmatic patients with chronic rhinosinusitis. Whether ESS has a positive effect on the clinical course of asthma still remains controversial. There have been several subjective evaluations but few objective results. We performed a study to evaluate the effectiveness of ESS in 19 patients with asthma who underwent ESS for rhinosinusitis. The use of antiasthma medication and postoperative asthma symptoms was analyzed. Objective changes of pulmonary function tests were evaluated. There was a significant improvement in diurnal and nocturnal asthma symptoms. Improvements in asthma medication scores were also confirmed, and individual asthma symptoms (dyspnea, cough, wheezing, and sputum production) improved significantly. Despite a reduction in use of antiasthma medication after ESS, the parameters of the pulmonary function tests did not change. Both subjectively and objectively, it seems that ESS, when used to treat asthmatic patients with chronic rhinosinusitis, can play a significant role in the clinical improvement of asthma.
已有多篇关于鼻内镜鼻窦手术（ESS）对患有慢性鼻窦炎的哮喘患者有效性的报道。ESS对哮喘临床病程是否具有积极作用仍存在争议。已有多项主观评估，但客观结果较少。我们开展了一项研究，以评估19例因鼻窦炎接受ESS的哮喘患者中ESS的有效性。分析了抗哮喘药物的使用情况及术后哮喘症状。评估了肺功能测试的客观变化。昼夜哮喘症状有显著改善。哮喘药物评分的改善也得到证实，且个体哮喘症状（呼吸困难、咳嗽、喘息和咳痰）有显著改善。尽管ESS后抗哮喘药物的使用减少，但肺功能测试参数并未改变。无论从主观还是客观来看，ESS用于治疗患有慢性鼻窦炎的哮喘患者时，似乎对哮喘的临床改善可发挥重要作用。
