|
|
Clinical Effect of Different Medium Acting Glucocorticoids on Nasal polyps with Allergic Rhinitis after Operation |
Guo Xiaoran1, Yang Xuehua2, Liu Shuai3 |
1. Department of Otolaryngology,Anyang Third People's Hospital,Anyang 455000,China; 2. Department of Otolaryngology,Anyang District Hospital,Puyang 455000,China; 3. Department of Otolaryngology,Anyang Hospital of Traditional Chinese Medicine,Anyang 455000,China |
|
|
Abstract Objective To investigate the clinical effect of different medium acting glucocorticoids on nasal polyps with allergic rhinitis after operation.Methods 90 patients with nasal polyps combined with allergic rhinitis were selected as the research objects,and randomly divided into two groups of 45 patients in each group.The patients in the two groups were treated with medium acting glucocorticoid after operation.The control group was treated with prednisone,and the observation group was treated with methylprednisolone.The therapeutic effect,bleeding rate,olfactory function score and airway resistance of the two groups were compared.Results There was no significant difference in the total effective rate between the two groups(P>0.05).The postoperative bleeding rate in the observation group was significantly lower than that in the control group(P<0.05);The scores of olfactory function and airway resistance in the two groups were significantly lower than those in the control group(P<0.05).Conclusion Both prednisone and methylprednisolone can improve the therapeutic effect in patients with nasal polyps and allergic rhinitis after surgery,but methylprednisolone can reduce the incidence of postoperative bleeding,promote the repair of nasal mucosa,improve the olfactory function of patients,and reduce airway resistance,which is worthy of clinical application and promotion.
|
Received: 08 November 2022
|
|
|
|
|
[1] 汪琼,孙群,陈其国,等.变应性鼻炎合并鼻息肉患者免疫治疗前后外周血叉头状转录因子p3与细胞抗原识别受体Vγ亚家族基因表达的特点[J].实用医学杂志 2019,35(14):2288-2292. [2] 王倩,刘玉文.过敏性鼻炎对鼻息肉术后疗效的影响[J].医药前沿,2019,9(28):43-44. [3] 杜经纬,冯俊,马鹏,等.鼻腔冲洗联合鼻用糖皮质激素对AR患者FeNO、肺功能及生活质量的影响[J].山东大学耳鼻喉眼学报,2019,33(1):130-133. [4] 龙玉顺,韩巧林.联用甲泼尼龙和醋酸泼尼松治疗肾病综合征并发重症肺炎的效果分析[J].当代医药论丛,2019,17(2):100-101. [5] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组.中国慢性鼻窦炎诊断和治疗指南(2018)[J].中华耳鼻咽喉头颈外科杂志,2019,54(2):81-100. [6] 侯俊胜,翟性友.枸地氯雷他定联合鼻窦内窥镜手术对慢性鼻窦炎患者炎性因子及嗅觉功能的影响[J].临床医学,2019,39(10):51-53. [7] 何恒胜,黄河银,兰建滨.枸地氯雷他定辅助治疗对慢性鼻窦炎鼻窦内窥镜手术患者血清炎性因子及鼻黏液纤毛清除功能的影响[J].实用医院临床杂志,2019,16(6):105-108. [8] Qiao Y,Jiao H,Niu H,et al.Comparison of the efficacy between methylprednisolone combined with entecavir and prednisone combined with entecavir in the treatment of primary nephrotic syndrome complicated with hepatitis B[J].Journal of Youjiang Medical University for Nationalities,2019,14(26):35-39. [9] 夏君,阮仕斌,夏铭阳,等.慢性鼻-鼻窦炎伴鼻息肉鼻内窥镜手术后应用不同中效糖皮质激素的临床效果[J].西部医学,2019,31(8):160-1263. [10] 高建华.鼻内镜手术与鼻腔开放手术治疗鼻窦炎鼻息肉的临床效果及鼻气道阻力,嗅觉功能影响分析[J].中西医结合心血管病电子杂志,2020,8(35):59+66. [11] 王明,矫健,卜祥婷,等.糖皮质激素治疗促进慢性鼻-鼻窦炎伴鼻息肉纤毛相关基因的表达[J].中国耳鼻咽喉头颈外科,2019,v.26(12):32-36. |
|
|
|