Blomgren Karin, Eliander Lotta, Hytönen Maija, Ylinen Suvi, Laitio Mirja, Virkkula Paula
Department of Otorhinolaryngology and Head and Neck Surgery, Helsinki University Hospital, Helsinki, Finland ; University of Helsinki, Helsinki, Finland.
Turku Vaccine Research Clinic, University of Tampere Vaccine Research Center, Turku, Finland.
Clin Med Insights Ear Nose Throat. 2015 May 14;8:13-7. doi: 10.4137/CMENT.S24419. eCollection 2015.
Antral irrigation earlier had an important role in the diagnosis and treatment of rhinosinusitis. Nowadays, it is often considered too unpleasant. However, the experience of patients of this procedure has been very seldom evaluated. Nor has the effect on pain in rhinosinusitis been evaluated. The aim of this study was to evaluate patients' experience of discomfort and pain during antral irrigation. We also assessed facial pain caused by rhinosinusitis before the procedure and pain soon after the procedure.
Doctors and 121 patients completed their questionnaires independently after antral irrigation in a university clinic, in a private hospital, and at a communal health center.
Patients experienced mild pain during antral irrigation (mean and median visual analog scale score: <3). Their experience of pain during antral irrigation was closely comparable to pain during dental calculus scaling. Facial pain assessed before antral irrigation decreased quickly after the procedure.
Antral irrigation was well tolerated as an outpatient procedure. The procedure seems to relieve facial pain caused by the disease quickly. The role of antral irrigation in the treatment of acute rhinosinusitis will need further investigation.
鼻窦冲洗曾在鼻窦炎的诊断和治疗中发挥重要作用。如今,人们通常认为该操作过于难受。然而,很少有研究评估患者对此操作的体验。对鼻窦炎疼痛的影响也未得到评估。本研究的目的是评估患者在鼻窦冲洗过程中的不适和疼痛体验。我们还评估了冲洗前鼻窦炎引起的面部疼痛以及冲洗后不久的疼痛情况。
在大学诊所、私立医院和社区健康中心,医生和121名患者在鼻窦冲洗后独立完成问卷。
患者在鼻窦冲洗过程中经历轻度疼痛(视觉模拟量表平均得分和中位数得分:<3)。他们在鼻窦冲洗过程中的疼痛体验与牙结石洁治过程中的疼痛相当。冲洗前评估的面部疼痛在冲洗后迅速减轻。
鼻窦冲洗作为门诊操作耐受性良好。该操作似乎能迅速缓解疾病引起的面部疼痛。鼻窦冲洗在急性鼻窦炎治疗中的作用尚需进一步研究。