The Influence About Using Biyuan Heji On Stage Of Mucous Membrane Outcome And Epithelization After Functional Endoscopic Sinus Surgery

Chronic rhinosonusitis (CRS) refers to the chronic inflammation of nasal cavity and the paranasal sinus mucous membrane, which continues for more than 12 weeks and is getting more and more serious. The typical symptoms are nasal obstraction,viscosity and purulent nasal mucus and so on. It is a common and frequently-occurring disease in the nasology. It is callde rhinorrhea with turbid discharge in Chinese medicine. Through the tentative observation of the patients who have applied the Biyuan Heji before and after FESS,the objective of this study is to discuss the influence on stage of transitionary process of mucous after FESS by using Chinese medicine.Objective: By comparing the effect and difference between Biyuan Heji and gelomyrtol on the stage of cleran operative cavity, mucous competition and complete epithelization,the purpose of the study is to reflect the advantage of Chinese medicine in this aspect. At the same time, it is hoped that theories and practices can be provided in this domain.Methods: A total of 40 patients were included in the study ,who meet a criterion of the Western medical diagnoses standards about CRS .They were divided into two groups: one group reated 20 patients with gelomyrtol and another group treated 20 patients with Biyuan Hj.We made a careful observation of the two groups in terms of subjective symptoms and the states of the mucous membrane to conduct a comparison of the mucous competition and complete epithelization between the two groups.Results: The results of the experiment indicated that the subjective symptoms and the states of the mucous were of no significant disparities before FESS(P>0.05), which shows that it is available to conduct the comparison between them. The group who received gelomyrtol treatment is significant difference in subjective symptoms and mucous' states in Lund-Kennedy endoscope between before and after FESS (P<0.05),so is the group of Biyuan Heji(P<0.01).Two groups were insignificant difference after one week in subjective symptoms and mucous' states in Lund-Kennedy endoscope between before and after FESS (P>0.05). Two groups were insignificant difference after four week in subjective symptoms and mucous' states in Lund-Kennedy endoscope between before and after FESS (P>0.05). After 4 weeks, the healing rate of the group which treated with Beyuan Heji is 15%,while the group which treated with gelomyrtol is 10%.The total effective rate of the group which treated with Beyuan Heji is 75%,while the group which treated with gelomyrtol is 65%.Conclusions: The results of the experiment showed that Biyuan Heji can improved the subjective symptoms after FESS in effect and profit recovery.It has almost therapeutic equivalence with western medicine on the stage of cleran operative cavity, mucous competition and complete epithelization. The study manifested that the explicit curative effect and the advantages of Chinese medicine in curing CRS, which paved the way for the Bianzheng Lunzhi of Chinese medicine in near future.