高渗盐水鼻腔冲洗治疗鼻窦炎的效果观察.docVIP

精品论文 参考文献 高渗盐水鼻腔冲洗治疗鼻窦炎的效果观察 冯云 廖晓华 　　（新疆昌吉州人民医院 831100） 　　【摘要】目的：探讨使用3％高渗盐水局部冲洗对鼻窦炎各种症状的改善，缓解病人痛苦，对临床中对该病的治疗提供参考。方法：选取50例诊断明确的急性鼻窦炎患者随机分为实验组和对照组，实验组给予3％高渗盐水250mL冲洗，每天一次，持续1周；对照组无盐水冲洗其余治疗方式相同，在治疗过程的第3天和第7天，分别比较两组鼻窦炎患者的临床症状、体征的积分情况。结果：两组患者的症状积分对比有显著差异，实验组治疗效果明显优于对照组，具备统计学意义(Plt;0.05)。结论：临床中对急性鼻窦炎患者使用3％高渗盐水冲洗，对粘膜水肿症状可有效减轻，促进鼻窦引流，抑制细菌生长，并能提高粘膜上皮电渗透性，对减轻患者的痛苦提高生活质量均有良好的作用。 　　【关键词】3％高渗盐水 鼻窦炎 鼻腔冲洗 　　【中图分类号】R765.4 【文献标识码】A 【文章编号】1672-5085（2014）18-0080-02 　　【Abstract】 Objective: To investigate the use of 3% hypertonic saline local flushing of sinusitis and improvement of various symptoms, relieve the pain of patients, the clinical treatment of the disease to provide reference.Methods: 50 patients diagnosed with acute sinusitis were randomly divided into experimental group and control group, the experimental group was given 250mL of 3% saline flush, once a day, for 1 weeks; control group without saline flush the remaining treatment the same way, in the treatment process of third days and fifth days, difference scores were compared between the two groups sinusitis in patients with clinical symptoms, signs.Results: the symptom scores were compared between two groups had significant difference, the treatment effect of the experimental group was significantly better than the control group, with statistical significance (Plt;0.05).Conclusion: the patients with acute sinusitis using 3% hypertonic saline flushing in clinical, the mucosal edema can effectively reduce, promote sinus drainage, inhibit the growth of bacteria, and can improve the mucosal epithelial electric permeability, to alleviate the suffering of patients to improve the quality of life was good. 　　【Key words】3% hypertonic saline sinusitis nasal irrigation 　　鼻窦炎是冬季多发病之一，其中急性鼻窦炎（Acute sinusitis）更为常见，在临床中将鼻窦发病在3周以内的化脓性炎症定义为急性鼻窦炎。该病主要症状是鼻塞、流鼻涕、头痛和食欲减退等，发病较急，多数伴有体温上升、畏寒等全身症状。我院耳鼻喉科2013年2月-2014年2月诊治的急性鼻窦炎患者50例，配合3％高渗盐水冲洗，效果与单纯常规治疗相比有明显改善，具体总结如下。 　　1 资料和方法 　　1.1