鼻后神经下鼻甲支切断术联合玉屏风颗粒治疗慢性鼻-鼻窦炎伴有鼻息肉合并哮喘的疗效分析*

Effect of the inferior turbinate branch of the posterior nasal nerve neurotomy plus Yupingfeng particles in patients with chronic rhinosinusitis and nasal polyps with bronchial asthma*

摘要:

摘要：目的??探讨鼻后神经下鼻甲支切断术联合玉屏风颗粒治疗慢性鼻-鼻窦炎伴有鼻息肉合并哮喘的疗效。方法 选取该院确诊的慢性鼻-鼻窦炎伴有鼻息肉合并哮喘的患者46例。分成两组，对照组（n?=?25）予以鼻窦开放和鼻息肉切除术，实验组（n?=?21）在常规手术基础上行鼻后神经下鼻甲支切断术。两组术后口服玉屏风颗粒治疗2个月。随访6个月，采用视觉模拟量表（VAS）和Lund-Mackay评分法进行疗效评估。结果 实验组术后6个月疗效明显高于对照组，两组比较，差异有统计学意义（χ2=6.40，P?=?0.041）。结论 鼻后神经下鼻甲支切断术联合玉屏风颗粒治疗慢性鼻-鼻窦炎伴有鼻息肉合并哮喘，可有效提高临床疗效，提升患者生活质量。

Abstract:

Abstract: Objective?To investigate the effect of the inferior turbinate branch of the posterior nasal nerve neurotomy plus Yupingfeng particles in patients with chronic rhinosinusitis and nasal polyps with bronchial asthma.?Method?46 cases of patients with chronic rhinosinusitis and nasal polyps with bronchial asthma were randomly divided into control group and experimental group, 25 cases in the control group and 21 patients in the experimental group. The two groups were treated with nasal polypectomy and sinus surgery. The experimental group was added the inferior turbinate branch of the posterior nasal nerve neurotomy. After operation, Yupingfeng particles were taken 3 times a day, each time one packet in two groups. The therapy was lasted for 2 months. After a follow-up period for half a year, visual analogue scale (VAS) and Lund-Mackay scoring method was used to evaluate the clinical therapeutic effect.?Result?At 6 months after operation, the curative rate in the experimental group was significantly higher than that in the control group. There is a significant statistical difference (χ2?=?6.40, P?=?0.041).?Conclusion? The inferior turbinate branch of the posterior nasal nerve neurotomy plus Yupingfeng particles can effectively improve the clinical efficacy of chronic rhinosinusitis and nasal polyps with bronchial asthma.