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3%高渗盐水与0.5%稀释碘伏鼻腔冲洗在功能性鼻内镜鼻窦手术术后病例中的随机对照研究

A Randomised Comparative Study of 3% Hypertonic Saline Versus 0.5% Diluted Betadine Nasal Irrigation in the Post Operative Cases Of Functional Endoscopic Sinus Surgery.

作者信息

Harugop Anil S, Saxena Tanishtha, Goel Divit, Arjunan Lavanya

机构信息

Department of Otorhinolaryngology & Head and Neck Surgery, J. N. Medical College, Belagavi, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2025 Jun;77(6):2326-2331. doi: 10.1007/s12070-025-05497-2. Epub 2025 Apr 28.

Abstract

INTRODUCTION

Chronic Rhinosinusitis (CRS) is a disease characterized by persistent inflammation of the nasal and paranasal sinuses. It is well known that using hypertonic saline, diluted betadine saline, and normal saline improves mucociliary clearance. This study aimed to compare efficacy of 3% hypertonic saline nasal irrigation against 0.5% diluted betadine saline nasal irrigation in the postoperative period sinonasal outcome (SNOT 22) questionnaire.

OBJECTIVE

To assess the impact of 3% hypertonic saline and 0.5% betadine solution nasal irrigation" on the "QUALITY OF LIFE" using the sinonasal outcome (SNOT 22) questionnaire.

METHODOLOGY

A one year study with a sample size of 102 (51 in each group) assess the impact of 3% hypertonic saline and 0.5% betadine solution nasal irrigation" on the "QUALITY OF LIFE" at 1st week, 1st month and 3rd month.

RESULTS

The study showed significant difference at the end of 1st week and 1st month in both groups proving betadine solution to be slightly better whereas in the 3rd month the hypertonic saline showed better results.

CONCLUSION

This study concludes that that both 0.5% betadine solution and 3% hypertonic saline are equally significant with 3% hypertonic saline having slightly better results, where 0.5% diluted betadine solution has proven to be slightly better in the short-term treatment up to 1 month, and 3% hypertonic saline proved to be better in a long-term treatment upto 3 months.

摘要

引言

慢性鼻-鼻窦炎(CRS)是一种以鼻腔和鼻窦持续炎症为特征的疾病。众所周知,使用高渗盐水、稀释的碘伏盐水和生理盐水可改善黏液纤毛清除功能。本研究旨在比较3%高渗盐水鼻腔冲洗与0.5%稀释碘伏盐水鼻腔冲洗在鼻窦手术后使用鼻窦结局测试22项问卷(SNOT 22)的疗效。

目的

使用鼻窦结局测试22项问卷(SNOT 22)评估3%高渗盐水和0.5%碘伏溶液鼻腔冲洗对“生活质量”的影响。

方法

一项为期一年的研究,样本量为102例(每组51例),在第1周、第1个月和第3个月评估3%高渗盐水和0.5%碘伏溶液鼻腔冲洗对“生活质量”的影响。

结果

研究显示,两组在第1周和第1个月末有显著差异,表明碘伏溶液略好,而在第3个月,高渗盐水显示出更好的结果。

结论

本研究得出结论,0.5%碘伏溶液和3%高渗盐水同样有效,3%高渗盐水的效果略好,其中0.5%稀释碘伏溶液在长达1个月的短期治疗中已被证明略好,3%高渗盐水在长达3个月的长期治疗中被证明更好。

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