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目的研究以鼻内镜手术为主综合治疗儿童慢性鼻窦炎伴哮喘疗效及对其肺通气功能的影响。方法 68例慢性鼻窦炎伴哮喘患者按治疗方式分成对照组与观察组(每组34例),对照组采用常规保守治疗,观察组采用鼻内镜手术治疗以及围手术期常规治疗。观察两组患者临床治疗疗效及肺通气功能变化。结果术后第1年及第3年观察组哮喘症状缓解情况明显高于对照组,差异有统计学意义(P<0.05);术后第1年及第3年观察组VAS评分与鼻内镜L-K评分下降情况明显高于对照组,差异有统计学意义(P<0.05);治疗后第1年及第3年,观察组患者肺通气功能好转情况均明显优于对照组,差异有统计学意义(P<0.05)。结论以鼻内镜为主综合治疗不但能缓解慢性鼻窦炎伴哮喘患儿的慢性鼻窦炎,还能控制哮喘的进一步发展,改善肺通气功能,可在临床上推广使用。
Objective To study the effect of nasal endoscopic surgery on children with chronic sinusitis and asthma and their effects on pulmonary ventilation. Methods Sixty-eight patients with chronic sinusitis and asthma were divided into control group and observation group (34 cases in each group) according to the way of treatment. The control group was treated by routine conservative treatment. The observation group was treated by endoscopic sinus surgery and routine perioperative treatment. The curative effect and the change of pulmonary ventilation function in two groups were observed. Results The relief of asthma in observation group was significantly higher than that in control group in the first year and the third year after operation (P <0.05). The VAS scores of the observation group and the endoscopic LK score was significantly lower than the control group, the difference was statistically significant (P <0.05); 1 and 3 years after treatment, observation group patients with pulmonary ventilation improved significantly better than the control group, the difference was statistically significant Significance (P <0.05). Conclusion Nasal endoscopy-based comprehensive treatment not only can relieve the chronic sinusitis in children with chronic sinusitis and asthma, but also can control the further development of asthma and improve pulmonary ventilation, which can be widely used clinically.