Zhao Yingying, Jiang Chenyan, Wu Qingwei, Shi Runjie
Department of Ortolaryngology, Huangpu Branch, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai,200011, China.
Department of Ortolaryngology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.
J Healthc Eng. 2022 Mar 7;2022:4140682. doi: 10.1155/2022/4140682. eCollection 2022.
In this article, we have explored the effects of endoscopic sinus surgery together with budesonide treatment on nasal function and serum inflammatory factors on patients with chronic sinusitis. We retrospectively analyzed 120 patients with chronic sinusitis who were admitted to our hospital from March 2018 to March 2021 and were eligible for this study. They were separated into 2 groups according to different treatments, that is, the control group (treated with endoscopic surgery alone) of 58 cases and observation group (treated with endoscopic sinus surgery combined with budesonide) with 62 cases. Treatment efficacy, surgical status, overall symptom score before and after treatment, nasal mucociliary clearance function, serum eosinophils (EOS), serum immunoglobulin E (IgE), serum inflammatory factors, and occurrence of adverse reactions of both groups were recorded and compared. Total effective rate in the observation group presented strikingly more positive compared with that among patients in control group (P<0.05), as well as the data recorded in terms of operation time, blood loss during surgery and postoperative improvement time of patients (P<0.05). Overall symptom score, nasal mucociliary clearance, EOS, IgE and serum inflammatory factors in both groups were improved notably after treatment, while the observation group held a more obvious improvement. And it also had a markedly lower incidence of adverse reaction (P<0.05). Endoscopic sinus surgery combined with budesonide in the treatment of chronic sinusitis could effectively improve the clinical symptoms of patients, reestablish the function of the nasal cavity and improve their inflammation level. Meanwhile, it was of high safety and is worthy of clinical promotion.
在本文中,我们探讨了鼻内镜鼻窦手术联合布地奈德治疗对慢性鼻窦炎患者鼻腔功能及血清炎症因子的影响。我们回顾性分析了2018年3月至2021年3月期间我院收治的120例符合本研究条件的慢性鼻窦炎患者。根据不同治疗方法将他们分为2组,即58例的对照组(单纯接受内镜手术治疗)和62例的观察组(接受鼻内镜鼻窦手术联合布地奈德治疗)。记录并比较两组的治疗效果、手术情况、治疗前后的总体症状评分、鼻腔黏液纤毛清除功能、血清嗜酸性粒细胞(EOS)、血清免疫球蛋白E(IgE)、血清炎症因子及不良反应的发生情况。观察组的总有效率明显高于对照组患者(P<0.05),患者的手术时间、术中出血量及术后恢复时间的数据比较也有统计学差异(P<0.05)。两组治疗后总体症状评分、鼻腔黏液纤毛清除功能、EOS、IgE及血清炎症因子均有明显改善,而观察组改善更明显。且其不良反应发生率也明显更低(P<0.05)。鼻内镜鼻窦手术联合布地奈德治疗慢性鼻窦炎可有效改善患者临床症状,重建鼻腔功能,降低炎症水平。同时,安全性高,值得临床推广。