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目的鼻内镜术后应用自制中药液加西药液冲洗鼻腔,观察鼻腔黏膜变化,为鼻腔术后黏膜的早期修复,寻求中西医结合治疗的有效方法。方法鼻内镜手术患者120例,随机分为两组,中西药结合组60例患者用生理盐水250ml加庆大霉素8万U以及自制中药液250ml,于术后第2天取出鼻腔油纱条开始每日冲洗鼻腔2次,对照组60例患者同法用生理盐水、甲硝唑各250ml冲洗,予以记录。结果两组术后第3天各项指标评分经t检验,差异无统计学意义(P>0.05),于术后第5、7、9、11天各项指标评分中西药结合组均明显高于对照组(P<0.05)。结论术后用中西药液结合冲洗鼻腔可以提高鼻内镜手术的疗效。
Objective After nasal endoscopic surgery, the nasal cavity was rinsed with homemade Chinese medicine and western medicine to observe the change of nasal mucosa, which was an effective method for the early repair of mucosa after nasal surgery in order to seek the combination of traditional Chinese and Western medicine. Methods 120 cases of endoscopic sinus surgery were randomly divided into two groups. The combination of Chinese and western medicine 60 cases of patients with saline 250ml plus gentamicin 80,000 U and 250ml homemade Chinese medicine solution, the first 2 days after the removal of nasal oil Gauze began to wash the nasal cavity twice a day, 60 patients in the control group with saline, metronidazole each 250ml rinse, to be recorded. Results The score of each index on the 3rd day after operation showed no significant difference (P> 0.05). On the 5th, 7th, 9th and 11th day after operation, the score of each index was significantly higher In the control group (P <0.05). Conclusion The combination of Chinese and Western medicine after washing the nasal cavity can improve the efficacy of endoscopic sinus surgery.