山东大学耳鼻喉眼学报

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鼻内镜下鼻息肉切除术对伴发的变应性鼻炎和哮喘症状的影响

邢志敏1,刘 新2,郭玲玲1,刘晓玲1,郑宏伟1,余力生1   

  1. 1. 北京大学人民医院耳鼻咽喉科, 北京 100044;2. 辽宁省建昌县第一医院耳鼻咽喉科, 辽宁 建昌 122200
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-02-24 发布日期:2008-02-24
  • 通讯作者: 邢志敏

Effects of nasal polyp endoscopic surgery on allergic rhinitis and asthma symptoms

XING Zhi-min1, LIU Xin2,GUO Ling-ling1, LIU Xiao-ling1, ZHENG Hong-wei 1,YU Li-sheng1   

  1. 1. Department of Otorhinolaryngology, Peking University People′s Hospital, Beijing 100044;2. Department of Otorhinolaryngology, Jianchang First Hospital, Jianchang 122200, Liaoning
  • Received:1900-01-01 Revised:1900-01-01 Online:2008-02-24 Published:2008-02-24
  • Contact: XING Zhi-min

摘要: 目的了解鼻息肉患者接受鼻窦内窥镜手术后变应性鼻炎、哮喘症状的改变。方法采用回顾性研究的方法,应用量化标准评估75例鼻息肉患者术前和术后的变应性鼻炎、哮喘症状及用药情况。结果鼻窦内窥镜手术后, 鼻息肉患者伴发的变应性鼻炎症状有明显改善,显效率为80.00%,有效率为14.67%,而对伴发的哮喘症状治疗效果不明显。结论鼻窦内窥镜手术后,鼻息肉患者伴发的变应性鼻炎症状有明显改善,变应性鼻炎伴有鼻息肉、鼻窦炎者应尽早手术治疗,对鼻息肉伴有哮喘的患者,要正确评估其预后,采取综合治疗措施。

关键词: 鼻息肉, 鼻炎, 变应性, 常年性, 哮喘, 内窥镜外科手术

Abstract: Objective To observe the changes of symptoms in patients with allergic rhinitis and asthma following nasal polyp endoscopic surgeries.Methods727 cases of nasal polyps were reviewed. Changes of the dosage of drugs against allergic rhinitis and asthma as well as the symptoms of patients after the operations were examined. ResultsMost symptoms of allergic rhinitis were obviously alleviated following nasal sinus endoscopic surgeries, and about 80.00% of patients had significant changes and 14.67% had effects. However, symptoms of asthma were not obviously changed. ConclusionSymptoms of allergic rhinitis in nasal polyp patients are alleviated following nasal sinus endoscopic surgeries. For patients having nasal polyps or allergic rhinitis together with sinusitis, early operations are recommended. But for patients having asthma and nasal polyps, integrated treatments should be used after careful evaluation of the prognosis.

Key words: Rhinitis, allergic, Nasal polyps, perennial, Asthma, Endoscopic surgical procedures, operative

中图分类号: 

  • R765.21
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