Clinical Study On Treatment Of Chronic Sinusitis With Nasosinusitis Lavage

Background of theoryENT chronic sinusitis are common,frequently-occurring disease,relapse rates are relatively high.Endoscopic sinus surgery with the active promotion on the clinical treatment of nasal surgery has increased,reducing the sinusitis and nasal polyps in patients with pain,but by the intraoperative and postoperative many factors,such as postoperative mucosal edema,secretion were increased,the plot of old blood,and granulation tissue proliferation, adhesion and sinus cavity mouth atresia affected by surgery,it is timely to remove these secretions,and promote mucosal restore and maintain the drainage ostium patency.Used to rinse the nasal cavity using normal saline,gentamicin, dexamethasone and other drugs to wash,efficacy bad,at the same time because of normal saline without lubrication,washing drier after the nasal cavity, and dexamethasone for the steroid hormone and it is not long-term use.Chinese lavage are many flavor with heat-clearing and detoxifying,anti-bacterial anti-inflammatory benefits of water swelling,Lee nasal Tongqiao from pure traditional Chinese medicine.Of nasal mucosa irritation small,to be effective in cleaning the nasal cavity,nasal cavity to improve ventilation and reduce scar cavity,and promote secretion from submucosal edema and mucosal cilia regression and system improvements.Chinese medicine nasal lavage washing line,simple operation,safety,low cost,without any side effects, endoscopic sinus surgery are a guarantee of success in promoting mucosal recovery phase has broad prospects.ObjectiveNasosinusitis lavage formulations are Guangdong Provincial TCM Hospital of proprietary Chinese medicine preparation room preparation,clinical postoperative nasal wash up,in the promotion of clean cavity to improve ventilation aspects of the nasal cavity have very good results.This study focused on the damp-heat in spleen and stomach,spleen wet poly-type in patients with chronic sinusitis after endoscopic sinus to the sinusitis nasal lavage washing of cavity mucosal recovery observation,and compare its efficacy.MethodsIn this study,ear-nose-throat Guangdong Provincial TCM Hospital from September 2008 to April 2009 in line with the standard of the wards were divided into 30 cases of damp-heat in spleen(A),poly-type wetland deficiency 30 cases (B group),preoperative given the same treatment in both groups during surgery Messerklinger line,after the first three days to the sinusitis nasal lavage washing to 3 months after follow-up in the course of two weeks,after 1 month, 3 months after visit endoscopic sinus review carefully cavity mucosa were observed recovery,color printers are used to collect video and middle turbinate shape cavity photos.There are all kinds of positive signs in mind 1 min,no 0 points,at different stages of the two groups to compare the total score will be related to the establishment of the database data entry and SPSS13.0 statistical analysis..ResultsA group and B group,two weeks after endoscopic sinus cavity morphology score comparison,P＞0.05,in the nasal secretions,mucosal edema,vesicles, adhesion cavity,the difference was not significant.After January,March, under endoscopic sinus cavity morphology score comparison,P＞0.05,in the nasal secretions,mucosal edema,vesicles,polyps,granuloma,adhesion cavity, sinus empyema,ostium narrow cavity occlusion,the difference was not significant.After two weeks,in January,March sinus cavity under the total morphological comparison,P＞0.05,the difference was not significant.ConclusionsSinusitis after endoscopic sinus to the nasal wash fluid after 2 weeks after the operation,in January,the two groups in March to improve the situation nasal mucosa of patients with no significant difference.Therefore, damp-heat in spleen and stomach,spleen wet poly-type in patients with chronic sinusitis,sinusitis in a timely manner favorable nasal wash fluid cavity. cleaning,cavity to reduce the scar and maintain the moist nasal cavity,from promoting the secretion and mucosal and submucosal edema subsided cilia system improvement after the lifting of the different parts of the nasal cavity or ostium atresia adhesion to maintain the patency of the paranasal sinuses drainage and effective infection control,and promote drainage and shorten the clinical course of treatment...