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目的分析影响慢性鼻窦炎鼻息肉患者鼻内镜术后疗效因素,从而提高康复治疗效果。方法选取66例2014年1月—2015年6月在该院行鼻内镜手术的慢性鼻窦炎鼻息肉患者,对其职业(A)、个人生活习惯(B)以及术后坚持系统康复治疗(C)情况进行回顾分析,随访2年以上观察患者的疾病复发情况。结果 A_0+B_0+C_0患者的复发率为3.70%,A_1+B_0+C_0复发率为14.29%,A_0+B_1+C_0复发率为18.18%,A_0+B_0+C_1复发率为33.33%,A_1+B_1+C_1复发率达到了41.67%,与A_0+B_0+C_0患者复发率比较,差异有统计学意义(P<0.05)。结论术后系统康复治疗对患者预后影响较大,术后足够疗程的系统康复治疗是提高患者鼻内镜术后疗效的关键,配合良好生活习惯和良好职业保护,能够有效降低术后复发率。
Objective To analyze the curative effect of endoscopic sinus surgery on patients with chronic sinusitis and nasal polyp to improve the effect of rehabilitation. Methods Sixty-six patients with chronic sinusitis and nasal polyps undergoing endoscopic sinus surgery from January 2014 to June 2015 were enrolled in this study. Their occupation (A), personal lifestyle (B) and postoperative adherence to systemic rehabilitation C) Retrospective analysis of the situation, followed up for 2 years to observe the patient’s disease recurrence. Results The recurrence rate was 3.70% in A 0 + B 0 + C 0, 14.29% in A 1 + B 0 + C 0, 18 18% in A 0 + B 1 + C 0, 33.33% in A 0 + B 0 + C 0, The recurrence rate of C + 1 was 41.67%, which was significantly different from that of A 0 + B 0 + C 0 (P 0. 05). Conclusions Postoperative systemic rehabilitation has a great impact on the prognosis of patients. After a sufficient period of postoperative systemic rehabilitation, it is the key to improve the efficacy after endoscopic sinus surgery. Combined with good living habits and good occupational protection, the postoperative recurrence rate can be effectively reduced.