The Clinical Curative Effect Research Of CRS After Endoscopic Sinus Surgery Treated Atomizing With The Huashi Tongqiao Decoction

Objective: Applicating of saline wash before "Huashi Tongqiao"decoction atomizing the cavity of the patients with chronic sinusitis and nasal polyps after FESS. Observe the symptoms and signs improved, measuring preoperative and postoperative patients with nasal mucociliary ransmission speed, nasal PH value and the cavity of cleaning time, in luminal epithelium of the time, and washed with simple saline as a control group, an objective evaluation of its efficacy and safety, and to further explore its mechanism and the role of the PH value of nasal cavity.Methods: the inclusion criteria are accepted 49 cases, in accordance with the order of admission, in accordance with the principle of randomized controlled divided into Group A (treatment group), Group B (control group ), the treatment group after saline irrigation to increase" Huashi Tongqiao" atomization of the cavity, In the control group with normal saline rinse cavity treatment. Surgery patients were recorded before and after two weeks, four weeks, twelve weeks of the patients sniveling, headache, dizziness, decreased sense of smell, sneezing, and other symptoms of the change before and after operation; The results of nasal mucociliary transmission speed and nasal PH; Observed by endoscopic after three months of the nasal mucosa vesting healing, the statistical analysis, evaluation of its efficacy.Results: The two groups of gender, age, duration, the Western medicine, such as general informations are of no statistically significant difference. Symptom scores were compared to their respective controls before and after treatment by the t-test, two groups after treatment for 4 weeks, 12 weeks (P<0.05), a significant difference, between the two groups after treatment than before treatment symptoms were significantly improved (P<0.01), in particular the treatment group improved more obvious. Two points of the cavity signs comparison: after two weeks, four weeks there was no significant difference, after 12 weeks, as integral t-test, P<0.05, the two groups There was a significant difference. Two of the cavity cleaning time by t-test, P<0.05, a significant difference. Two of the luminal epithelium of the time by t-test, P<0.01, significantly different. Two nasal cilia transfer rate comparison: In the treatment group compared with control group, in the preoperative and postoperative two weeks, after four weeks there was no significant difference, P>0.05; 12 weeks after treatment, two patients with cilia transmission rate than before treatment was significant difference, P<0.01; the treatment group compared with the control group, with significant difference, P<0.05. PH of the nasal cavity compared two groups: preoperative and postoperative two weeks, after four weeks there was no significant difference after 12 weeks by the t-test, P<0.01, there was significant difference between the two groups after treatment compared with nasal PH Before there were significant differences (P<0.01).Conclusion: Saline wash before "Huashi Tongqiao"decoction atomizing the cavity, the symptoms, signs more visible than simple saline irrigation; to more effectively promote and accelerate the cavity of the epithelium; more obvious cilia speed up transfer rates, and promote mucosal cilia functional recovery; nasal PH change in the nasal cavity and physiological function is closely related, this study confirmed the"Huashi Tongqiao"decoction to reduce the nasal endoscopy after phase of the nasal epithelium of the PH.