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[鼻内用药对鼻黏膜结构的影响]

[Influence of intranasal medication on the structure of the nasal mucosa].

作者信息

Wang J, Bu G

机构信息

Department of Otorhinolaryngology, Zhuhai Municipal Hospital, Zhuhai 519000.

出版信息

Zhonghua Er Bi Yan Hou Ke Za Zhi. 1999 Feb;34(1):14-5.

Abstract

OBJECTIVE

To study the pathological changes and reversibility of the nasal mucosa after drug administration.

METHODS

Gentamicin and insulin were dropped into the nasal cavity of rabbits for 3, 5, 7 days to two weeks, after one and two weeks, the nasal mucosa was taken and observed under optical and electron microscopes.

RESULTS

It was found that after 3-7 days of drugs administration, damages of the nasal mucosa gradually appeared, and became most serious after one week when the epithelia in some regions detached from basement membr theane. After stopping drug application, the ciliated epithelia restored quickly and completely, goblet cells reproduced and inflammatory reaction disappeared.

CONCLUSION

The damages induced by drugs on nasal mucosa are reversible. The intranasal route of drug administration is feasible and promising.

摘要

目的

研究给药后鼻黏膜的病理变化及可逆性。

方法

将庆大霉素和胰岛素滴入兔鼻腔,持续3、5、7天至两周,在给药1周和2周后,取鼻黏膜在光学显微镜和电子显微镜下观察。

结果

发现给药3 - 7天后,鼻黏膜逐渐出现损伤,1周时最为严重,部分区域上皮与基底膜分离。停药后,纤毛上皮迅速且完全恢复,杯状细胞再生,炎症反应消失。

结论

药物对鼻黏膜造成的损伤是可逆的。经鼻给药途径可行且具有前景。

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