JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (3): 35-38.doi: 10.6040/j.issn.1673-3770.0.2015.125

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Perioperative treatment in endoscopic sinus surgery for chronic rhinosinusitis with nasal polyps and asthma

CHEN Guojing1, CAI Xiaolan2, LI Xuezhong2, ZHANG Liqiang2, ZHU Huitao2   

  1. 1. Department of Pharmacy, Policeman General Hospital of Shandong, Jinan 250002, Shandong, China;
    2. Department of Otorhinolaryngology, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2015-04-13 Revised:2015-05-13 Published:2015-06-16

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Abstract: Objective To explore the perioperative medicine treatment and notes of endoscopic sinus surgery for chronic rhinosinusitis with nasal polyps(CRSwNP) and asthma. Methods From June 2010 to December 2013, 109 patients with CRSwNP accompanying with asthma were treated by endoscopic sinus surgery(ESS). All patients with asthma were evaluated pre-operation and performed ESS 6 months after completely controlled. Medication such as atomization inhalation and systemic corticosteroids were given to control and prevent asthma attack during peri-operation. Results No asthma attack happened during the treatment process. Only 1 patient had wheezing on the 2nd day post-operation by oral analgesics. Endoscopy examination was administrated in a follow-up period of 1 to 3 years after the surgery. Among them, 5 patients(4.59%) were completely controlled, 94(86.24%) were partly controlled and 10(9.17%) were not. Only 1 patient was treated with operation because of avascular necrosis of the femoral head 13 months after ESS. Conclusion It is useful to prevent asthma attack and improve ESS efficacy in CRSwNP that depends on asthma evaluation before ESS and rigorous medicine peri-operative treatment.

Key words: Asthma, Perioperative treatment, drug, Nasal polyps, Sinusitis, Endoscopic surgical procedures, operative

CLC Number: 

  • R765.4
[1] 陈枫虹, 徐睿, 左可军, 等.慢性鼻- 鼻窦炎伴支气管哮喘患者内镜手术综合治疗疗效观察[J]. 中华耳鼻咽喉头颈外科杂志, 2011, 46(6):444-448. CHEN Fenghong, XU Rui, ZUO Kejun, et al. Efficacy of endoscopic sinus surgery-based on multidisciplinary treatment for chronic rhinosinusitis with asthma[J]. Chin J Otorhinolaryngol Head Neck Surg, 2011, 46(6):444-448.
[2] 韩传宝, 周钦海, 孙培莉, 等.哮喘患者围术期麻醉管理[J].临床麻醉学杂志, 2013, 29(8):820-822. HAN Chuanbao, ZHOU Qinhai, SUN Peili, et al. Perioperative anesthesia for asthma[J]. J Clin Anesthesiol, 2013, 29(8):820-822.
[3] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组, 中华医学会耳鼻咽喉头颈外科学分会鼻科学组.慢性鼻-鼻窦炎诊断和治疗指南(2012年, 昆明)[J].中华耳鼻咽喉头颈外科杂志, 2013, 48(2):92-94. Nasal Study Group of Editorial Board of the Chinese Journal of Otorhinolaryngology Head and Neck Surgery. Nasal Study Group of Chinese Medical Association of Otolaryngology Head and Neck Surgery. Guidelines of diagnosis and treatment for chronic rhinosinusitis(2012, Kunming)[J]. Chin J Otorhinolaryngol Head Neck Surg, 2013, 48(2):92-94.
[4] 中华医学会呼吸病学分会哮喘学组 中华医学会全科医学分会.中国支气管哮喘防治指南(基层版)[J].中华结核和呼吸杂志, 2013, 36(5):331-336. Asthma Group of the Respiratory Disease Branch of Chinese Medical Association. General Medical Association of Branch of Chinese Medical Association. Guidelines for prevention and treatment of bronchial asthma in China (basic version)[J]. Chin J Tubercul Respir Dis, 2013, 36(5):331-336.
[5] 中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南(支气管哮喘的定义、诊断、治疗及教育和管理方案)[J].中华结核和呼吸杂志, 2003, 26(2):132-138. Asthma Group of the Respiratory Disease Branch of Chinese Medical Association. Guidelines for the prevention and treatment of bronchial asthma (the definition, diagnosis, treatment, education and management program for asthma)[J]. Chin J Tubercul Respirat Dis, 2003, 26(2):132-138.
[6] 中华医学会呼吸病学分会哮喘学组.支气管哮喘控制的中国专家共识[J].中华内科杂志, 2013, 52(5):440-443. Asthma Group of the Respiratory Disease Branch of Chinese Medical Association. Chinese expert consensus on asthma control[J]. Chin J Inter Med, 2013, 52(5):440-443.
[7] 中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南[J]. 中华结核和呼吸杂志, 2008, 31(2):177-185. Asthma Group of the Respiratory Disease Branch of Chinese Medical Association. Guidelines for the prevention and treatment of bronchial asthma[J]. Chin J Tubercul Respir Dis, 2008, 31(2):177-185.
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