鼻内镜手术结合药物治疗慢性鼻-鼻窦炎并发支气管哮喘的临床效果研究

doi:10.3969/j.issn.1006-6233.2018.07.037

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Abstract Objective: To investigate the efficacy of endoscopic sinus surgery (ESS) combined with medication in the treatment of chronic rhinosinusitis (CRS) complicated with bronchial asthma. Methods: The clinical data of 55 CRS patients with bronchial asthma from Oct.2014 to Oct.2016 were analyzed retrospectively, and all of them were treated with ESS, inhaled corticosteroids, nasal sprays, and anti allergy drugs. The effect of the comprehensive treatment on the acute attack of bronchial asthma during operation and the short-term curative effect of CRS and bronchial asthma were studied. Results: ①The perioperative period: 52 cases were in perioperative stable condition, whereas 3 cases were diagnosed as acute bronchial asthma. ②CRS effective follow-up: the postoperative visual analogue scale (VAS) score and endoscopic Lund-Mackay score of postoperative 12w and 48w were significantly lower than those of preoperative 1w (P<0.05), and the postoperative 48W was significantly lower than that of 12W (P<0.05). ③Bronchial asthma effective follow-up: The asthma control scale (ACT) scores of postoperative 12w and 48w were significantly lower than those of preoperative 1w (P<0.05), and there were no significant change in lung function before and after the operation (P>0.05). ④Drugs for bronchial asthma: 42 patients (76.4%) were treated with minimum dose of hormone for more than 24 weeks and discontinued after operation. Conclusion: The combination of standard ESS and drug therapy can effectively reduce the risk of perioperative asthma attack, improve CRS nasal symptoms, and have a positive effect on the recent asthma.

Key words： Endoscopic sinus surgery Chronic rhinosinusitis Bronchial asthma Combined therapy

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	ZHONG Limei
	BIAN Ka

Cite this article:

ZHONG Limei,BIAN Ka. Clinical Study of Endoscopic Sinus Surgery combined with Medicine in the Treatment of Chronic Rhinosinusitis Complicated with Bronchial Asthma[J]. HeBei Med, 2018, 24(7): 1207-1209.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2018.07.037 OR http://www.hbyxzzs.cn/EN/Y2018/V24/I7/1207

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