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目的探讨克拉霉素在慢性鼻窦炎(不伴鼻息肉)治疗中的作用。方法慢性鼻窦炎患者40例,采用小剂量的克拉霉素片剂口服治疗3个月,采用小剂量克拉霉素250mg/片,1片/d。3个月后观察其症状、鼻内镜检查、鼻窦CT检查及鼻窦黏膜病理的改善情况,以视觉模拟评分评估治疗前后的情况。结果 40名患者治疗前视觉模拟评分平均为7.98±2.13,治疗3个月后视觉模拟评分平均为2.96±1.08,Lund-Mackey鼻窦CT评分,治疗前平均为7.78±2.05,治疗后平均为3.18±1.15,治疗前后平均分采用t检验,p<0.01,均有显著性差异,具有统计学意义,且未出现明显肝功异常。结论小剂量长期服用克拉霉素对慢性鼻窦炎(不伴鼻息肉)效果较好。
Objective To investigate the role of clarithromycin in the treatment of chronic sinusitis (without nasal polyps). Methods 40 patients with chronic sinusitis were treated with low dose clarithromycin tablets for 3 months orally. The patients were treated with low dose clarithromycin 250 mg / tablet and 1 tablet / d. After 3 months, the symptoms, endoscopic examination, CT examination of sinuses and pathological changes of sinus mucosa were observed, and the visual analogue scale was used to evaluate the situation before and after treatment. Results The average visual analogue score of 40 patients before treatment was 7.98 ± 2.13. After 3 months of treatment, the average visual analogue scale was 2.96 ± 1.08. The Lund-Mackey sinus CT score was 7.78 ± 2.05 before treatment and 3.18 ± after treatment 1.15, before and after treatment, the average score using t test, p <0.01, were significantly different, with statistical significance, and no significant abnormal liver function. Conclusion Small doses of long-term use of clarithromycin on chronic sinusitis (without nasal polyps) better.