Chen An, Zhao Yulin, Wang Yuting
Department of Rhinology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2013 Aug;27(15):847-9.
This paper is aimed to analyse the pathogeny of postnasal drip syndrome including of cough, postnasal drip and pharyngeal foreign body sensation. And explore to the appropriate diagnosis and treatment strategy.
The author took 56 cases of PNDs as examples. The 56 cases were switched to FESS. The author frequently visit the 56 patients after treatment for 6 months and did SNOT-20 (the sino-nasal outcome test-20) scale assessment of the symptom improvement in patients before and after the situation. The author also compared the symptom score differences between postnasal drip and cough and explored the disease causes and assess the postoperative recovery status.
In patients with 56 cases PNDs, chronic rhinosinusitis in 22 patients (39.3%), nasal polyps in 11 patients (19.6%), deviation of nasal septum partial in 5 patients (8.9%), the adenoids in 10 patients (17.9%), the fungal sinusitis in 5 patients (8.9%), the maxillary sinus hemorrhagic polyp in 2 cases (3.6%), the nasal-sinal neoplasm in 1 cases (1.8%). SNOT-20 rating scale result showed:r = 0.674 (P < 0.01), r = 0.062 4 (P < 0.01), postnasal drip and cough symptoms score with certain relevance. Before and after the operation of score comparison about the "postnasal drip" symptoms, scoring significant difference (P < 0.01), namely the surgical treatment had distinct effect. And "cough" symptoms score before and after operation had a significant difference (P < 0.01).
"postnasal drip" and "cough" symptoms occur with some relevance. After the FESS the two symptoms are improved significantly.
分析鼻后滴漏综合征引起咳嗽、鼻后滴漏及咽部异物感的病因，并探讨其合适的诊断及治疗策略。
以56例鼻后滴漏综合征患者为例，对其行功能性鼻内镜鼻窦手术（FESS）。术后6个月内对这56例患者进行随访，并采用鼻鼻窦结局测试-20（SNOT-20）量表评估患者术前及术后症状改善情况。比较鼻后滴漏与咳嗽症状评分差异，分析病因并评估术后恢复状况。
56例鼻后滴漏综合征患者中，慢性鼻窦炎22例（39.3%），鼻息肉11例（19.6%），鼻中隔偏曲5例（8.9%），腺样体肥大10例（17.9%），真菌性鼻窦炎5例（8.9%），上颌窦出血性息肉２例（3.6%），鼻窦肿瘤1例（1.8%）。SNOT-20量表结果显示：r = 0.674（P < 0.01），r = 0.062 4（P < 0.01），鼻后滴漏与咳嗽症状评分具有一定相关性。手术前后“鼻后滴漏”症状评分比较，差异有统计学意义（P < 0.01），即手术治疗效果明显。“咳嗽”症状手术前后评分差异有统计学意义（P < 0.01）。
“鼻后滴漏”与“咳嗽”症状的发生具有一定相关性。功能性鼻内镜鼻窦手术后这两种症状均有明显改善。
