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Surgery For Chronic Sinusitis Treatment Period Chinese And Western Medicine Clinical Observation

Posted on:2010-01-10Degree:MasterType:Thesis
Country:ChinaCandidate:X L YiFull Text:PDF
GTID:2144360275478982Subject:Integrative Medicine ENT
Abstract/Summary:PDF Full Text Request
Objective:To investigate the sinus period of endoscopic sinus surgery in the treatment of the efficacy of traditional Chinese medicine therapyMethods:The subjects were 93 cases of patients from March 2007 to September 2008 in the Chinese medicine hospital in Hubei Province Bank ENT sinus surgery treatment of nasal cavity and paranasal sinuses,consistent with the inclusion and exclusion criteria,one of 50 cases of male,female 43 patients,aged 18-69 years old, average age 39.3 years old,Ⅰtype in patients with chronic sinusitis in 25 patients,Ⅱ-type patients with 50 cases,Ⅲin patients with type 15 cases,double the 76 cases of lesions in patients with single lesions were 17 cases of patients,the subject of for randomized controlled study of patients randomized into groups,one for the integrated group,even for the basic group,and General Surgery at the basic group of staff members in Wai period, all staff members and doctors in routine(such as antibiotics, cortex steroids,nasal sprays,such as partial)pre-operative examination,the dressing was changed and the cavity after treatment(including the cavity washing,adhesion and residual cavity treatment of polyps,etc.)from the preoperative to postoperative week January,General groups of conventional Western medicine therapy on the basis of the debate on the road of Chinese medicine,Chinese medicine decoction given orally,daily one,the subject of all patients,all of the basis of clinical symptoms, signs and imaging examinations(including X-ray,CT,MRI examination,etc.)shown in the scope and extent of disease to design ways and surgical resection of the scope of more than 1 year postoperative follow-up,in the light of the amendment in November 1997 after the sea Pingding efficacy standards,identify and dialectical analysis of oral medicine after Shi Ye decoction of the nasal cavity and paranasal sinus surgery impact。Results:The analysis of variance,two groups of patients with age distribution and average age,course of disease distribution and the average course of disease,clinical sub-type phases,the dialectical analysis of Chinese medicine,there was no statistical significance(P>0.05)after 1 week the two groups of patients with and clinical symptoms of the card body,the difference was not obvious.After two weeks,the General symptoms in patients with the basic group has significant difference(P<0.05)split sinus endoscopic examination no significant difference(p>0.05)after 4 weeks,8 weeks and 12 weeks of integrated group the subjective symptoms and signs of sinus endoscopy of the basic target group and were significantly different(P<0.05),after more rate Ye,the total effective rate.Group was significantly higher than the basic General group,there was a significant difference(P<0.05)Conclusion:According to clinical observation in the group shows that in patients with chronic sinusitis line treatment of endoscopic sinus surgery process.According to patients with symptoms and signs, accurate and Shi Ye dialectical therapy with traditional Chinese medicine,can significantly promote the growth of epithelial sinus restore sticky,sticky help epithelium,mucociliary function in the early recovery,to accelerate the reconstruction of nasal cavity and paranasal sinuses own clean-up function,significantly improve endoscopic sinus surgery nasal cavity and paranasal sinuses is worthy to be popularized。...
Keywords/Search Tags:Sinusitis, Nasal polyps, Endoscopic sinus surgery, Clinical efficacy
PDF Full Text Request
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