世界中医药

目的：探讨化湿通窍方雾化术腔治疗鼻窦炎的疗效，促进患者早日康复。方法：将我院收治的进行鼻内窥镜手术及常规术后治疗的患者92例，用随机数字表法随机分为2组，每组46例，研究组在对照组治疗基础上加予化湿通窍方雾化术腔，持续雾化1个月，观察治疗效果及术腔康复情况。结果：2组治疗后头痛、流涕积分比较差异无统计学意义（P>0.05），实验组鼻塞、嗅觉减退、鼻甲肿胀积分低于对照组（P<0.05）；2组术腔清洁时间比较差异无统计学意义（P>0.05），实验组黏膜转归竞争、上皮化时间均短于对照组（P<0.05）；术后2个月实验组鼻黏液纤毛传输速度快于对照组（P<0.05)。结论：对于实施鼻内窥镜手术治疗的慢性鼻-鼻窦炎患者，术后给予化湿通窍方雾化术腔可缩短黏膜上皮化时间，促进鼻黏膜纤毛功能恢复，临床应推广应用。

English Summary:

To investigate atomized Huashi Tongqiao Decoction in the recovery of patients who had nasal endoscopic surgery for sinusitis，so as to promote early recovery. Methods:A total of 92 patients who had nasal endoscopic surgery in the hospital and routine postoperative treatment were selected and randomly divided into two groups by random number table method，with 46 cases in each group. The experimental group was additionally treated with spray of Huashi Tongqi Decoction for one month. The recovery of nasal cavity and curative effect were observed. Results:Headache，runny nose scores showed no statistically significant difference between the two groups after the treatment (P>0.05). Nasal congestion，diminished sense of smell，the turbinate swelling points of the experimental group were lower than those of the control group (P<0.05). Surgical cavity cleaning time of the two groups showed no statistically significant difference (P>0.05). The competitive outcome mucosa and epithelium of time of the experimental group was shorter than those of the control group (P<0.05). Nasal mucociliary transporting rate of the experimental group two months after surgery was faster than that of the control group (P<0.05). Conclusion:Atomized Huashi Tongqiao Decoction for patients who had endoscopic surgery for chronic rhinitis-sinusitis may shorten mucosa epithelium time and promote functional recovery of the nasal cilia，which is worth of promotion and application.

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