Bi Yuan Shu Liquid Perfusion Endoscopic Sinus Surgery Efficacy Observation

Objective:To investigate the influence of irrigating solution of Bi Yuan Shu Oral liquid given after operation on the therapeutic effect of FESS for chronic sinusitis.Methods:May 2006--August 2007 in my branch hospital treatment,with inclusion,exclusion criteria of 60 patients take endoscopic sinus surgery for chronic sinusitis and nasal polyps,And,male 28 case,female 32 case:Age 20-60 years old,average 41 years old:chronic sinusitis and 31 cases of patients with typeⅡ,Ⅲpatients with 29 cases:53 cases of patients with bilateral and unilateral patients with seven cases. This test for the randomized controlled study,conducted into the cases of random groups.The treatment group used to rinse Biyuan Shu oral solution,saline control group used for irrigation.Random programme of random use of simple design group, patients on 1:1 ratio randomly assigned to the test group and control group Ready to be admitted to hospital surgery sinusitis and nasal polyps by hospital patients has code, according to random number table on the odd number will be set for the trial group, even as a control group.All patients were using Messerklinger operation,follow-up of more than six months,in the light of the effect of Haikou 1997 standards,observed 13 targets,the effect of its impact.Results:After the variance analysis,the technique latter 1 week,two group of patient's symptoms and the symptom vanishing difference is not obvious, non-statistics significance(P＞0.05).The technique latter 2 weeks,the headache,the pus tears,the hyposmia,and the mucous edema improvement situation two groups of differences have statistics significance.After the technique,the 4th week,the condition appraisal result showed that the experimental group patients eliminate the sense of smell improvement situation and the control group difference not obvious (P＞0.05)outside The total efective ratio of the group with irrigatingsolution of Bi Yuan Shu Oral liquid was significantly higher than that with0.9%N.S.for cases{P＜0.05)Conclusion:according to the clinical observation:The rinse solution after the chronic nasosinusitis nose the mirror technique's initial period,its physical property washing out effect is main,affects the elimination bloody scab through this,the technique cavity surface scab skin,the technique cavity secretion goal.But the nasosinusitis extends the oral compared to the physiological saline to be able effectively the promotion and the acceleration technique cavity mucous epithelium. Can eliminate the mucous edema effectively,the promotion partial blood circulation,the promotion secretion absorption,the promotion mucous membrane regeneration repairs duplicate,the acceleration epidermis,and promotes the mucilage cilium elimination function,resumes its own protection and the defense function.The nasosinusitis extends the oral flushing technique cavity regarding the patient mid and late part symptom and the symptom(technique cavity situation)the improvement is more obvious.In brief,the treatment group various viewpoints grading value has the significance difference compared with the control group. Irrigating solution of Bi Yuan Shu Oral liquid used afteroperation can improve the therapeutic effect of FESS for chronicsinusitis.