| Objective: Chronic nasosinusitis sufferers after the functional endoscopic sinus surgery, are treated taking orally and fuming to steam with the Hushi Tongqiao decoction, observing its symptom, endoscopic nasal mucosa score, recording Mucociliary transport rate, lacunar of Cleaning cavity and Epithelial time before and after the surgery, taking pure surgical operations as to check against, inquiry into the roles and its related mechanism of curative effect, relieving symptoms, recovering the nasal cavity function and reducing to relapse with using the Decoction after the surgery, for seeking The ideal TCM treatments and ethicals and its theory of Chronic nasosinusitis after functional endoscopic sinus surgery.Methods: To the hospitalization sufferers who conform to the standard bring into 53 example, according to hospitalize order of sequence, random is divided into the treatment set 27 example, the Matched control set 26 example. The Matched control set: taking orally and fuming to steam with the Hushi Tongqiao decoction + Conventional medicine and treatment after FESS; The treatment set: Conventional medicine and treatment after FESS. Record respectively the sufferers' Symptoms integral of Nasal ventilation, pus nose, dizziness, headache, smell and sneeze, and endoscopic nasal mucosa score of Scab skin, mucosa edema, vesicles, polyps and nose secretions respectively before and after the surgery, record Mucociliary transport rate before and after the surgery, postoperative lacunar of Cleaning cavity and Epithelial time after, judgment the nasal cavity mucosa turns to return and more matches, and passing statistics to learn analytical the processing data to adjudicate the curative effect of the traditional Chinese medicine reatments and Chinese herbal medicine.Results: (1) The symptom grade point compare: two sets of relatively have no obvious discrepancy before the treatment (P>0.05); two sets behind the treatment of symptoms all and more to all have already show the obvious improvement before the treatment (P<0.01), between the two sets after treatment, there appear significant difference (P<0.05)on 4, 8, 12 weeks, especially in the treatment set is more obvious improvement. (2)The grade point of the physical sign to compare: two sets of relatively have no obvious discrepancy before the treatment (P>0.05); two sets behind the treatment of postoperative lacunar circumstances all and more to all have already show the obvious improvement before the treatment (P<0.01), between the two sets after treatment, there appear significant difference (P<0.05) for 4, 8, 12 weeks. (3)Two sets of total curative effect comparisons: the treatment set is always efficient 92.59%, the matched control is always efficient 84.62%, the total curative effect of the treatment set surpasses the matched control. (4)The lacunar of Cleaning cavity time to compare: the treatment set is equally for 4.79 days of 22.15±s, the matched control is equally for 5.87 days of 25.85±s, through the examination, t=-0.2518, P<0.05, have already show the obvious discrepancy. (5)The lacunar Epithelial time time to compare: the treatment set is equally for7.58 days of 51.07±s, the matched control is equally for 8.90 days of 65.19±s, through the examination, t=-6.224, P<0.01, have already show the obvious discrepancy. (6) The Mucociliary transport rate to compare: two sets of before the surgery , after the surgery for 1,2, 4 weeks all have no obvious difference; after the surgery for 8 weeks through examine t=2.226, P<0.05, have the obvious difference; after the surgery for 12 weeks through examination t=4.334, P<0.01, have already show the obvious discrepancy; within the two sets eacher after treatment for 8, 12 weeks had the obvious difference to compare before treatment (P<0.05).Conclusion: (1)The application in Chronic nasosinusiti sufferers after Functional endoscopic sinus surgery , turns the Hushi Tongqiao decoction in the foundation of the western medicine treatment, advertising good effect on allergic in symptoms and endoscopic nasal mucosa score of improvement is better than pure western medicine therapy. (2)Add to use Chinese herbal medicine intervention functional endoscopic sinus surgery to cure behind, can obviously raise the Chronic nasosinusiti sufferer's total curative effect. (3)The water decoction fuming to steam of Hushi Tongqiao decoction can accelerate the lacunar Epithelial process, improve the lacunar of Cleaning cavity speed after surgery before taking orally, then shortenning the time to recover from illness after the surgery. (4)Water decoction of Hushi Tongqiao decoction with fuming to steam can promote recovery the mucociliary transport function before taking orally. |
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