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目的 :评价辣椒素局部应用对鼻息肉术后复发的抑制作用。方法 :从 5 1例鼻息肉摘除加筛窦开放术患者中 ,随机选取 2 9例 ,术后 2周起 ,于鼻腔手术部位 ,置入直径 2 cm左右 ,浸有溶于 70 %乙醇的 3× 10 -6mol辣椒素的棉片 1块 ,2 0 min后取出 ,每周 1次 ,5次为 1疗程 ;其余 2 2例术后局部放置浸有 70 %乙醇的棉片作为对照。采用临床客观检查结合患者主观症状评级 ,综合评价疗效。结果 :治疗后平均 9个月和平均 5 5个月两次随访显示 :辣椒素局部应用能有效改善鼻通气 ( P <0 .0 1)。辣椒素组临床有效率分别为 86.2 %和 69.0 % ;对照组有效率分别为 45 .4%和 3 6.4%。两组相比较 ,差异具有显著性 ( P <0 .0 1)。结论 :辣椒素局部治疗有抑制或延缓鼻息肉术后复发的作用
Objective: To evaluate the inhibitory effect of topical application of capsaicin on the recurrence of nasal polyps. Methods: From 51 cases of nasal polyps plus ethmoid sinus surgery, 29 cases were randomly selected. After operation for 2 weeks, the nasal cavity was placed with a diameter of 2 cm and immersed in 3% ethanol × 10 -6mol capsaicin cotton piece 1, 20 min after taking out, once a week, 5 times for a course of treatment; the remaining 22 cases were placed in the local immersed in 70% ethanol cotton as a control. Objective clinical examination combined with subjective symptom rating, comprehensive evaluation of the curative effect. RESULTS: An average of 9 months after treatment and an average of 55 months of follow-up showed that topical application of capsaicin was effective in improving nasal ventilation (P <0.01). The clinical efficacies in the capsaicin group were 86.2% and 69.0%, respectively. The effective rates in the control group were 45.4% and 36.4%, respectively. The difference between the two groups was significant (P <0.01). Conclusion: Local treatment of capsaicin can inhibit or delay the recurrence of nasal polyps