Influence of nasal irrigation concentration and timing after ultrasonic atomization through nose and mouth on nasal ventilation function and clinical curative effect after operation of chronic sinusitis
DAI Feng XIE Zuojun YANG Qiming ZHONG Zhuanglong
Otolaryngology Head and Neck Surgery, Pingxiang People′s Hospital, Jiangxi Province, Pingxiang 337000, China
Abstract: Objective To study the influence of nasal irrigation concentration and timing after ultrasonic atomization through nose and mouth on nasal ventilation function and clinical curative effect after chronic sinusitis operation. Methods A total of 80 patients with chronic sinusitis from Pingxiang People′s Hospital from March, 2020 to November, 2021 were selected as subjects for retrospective analysis. They were divided into four groups, A, B, C and D according to the treatment concentration and timing, with 20 patients in each group. Group A was rinsed with 0.9% saline 10 min after atomization inhalation, group B was rinsed with 2.5% saline 10 min after atomization inhalation, group C was rinsed with 0.9% saline 30 min after atomization inhalation, and group D was rinsed with 2.5% saline 30 min after atomization inhalation. The clinical efficacy, hospitalization indexes, nasal ventilation function and total incidence of complications were compared among the four groups. Results The total effective rate of group B was higher than that of groups A, C and D, and the difference was statistically significant (P<0.008). The hospitalization time and respiratory improvement time of group B were shorter than those of groups A, C and D, and the hospitalization expense of group B was lower than that of groups A, C and D, with statistically significant differences (P<0.05). After intervention, the total nasal resistance (RT) and nasal resistance difference ratio (Rlr) in group B were lower than those in groups A, C and D, and the differences were statistically significant (P<0.05). The total incidence of complications in group B was lower than that in groups A, C and D, and the difference was statistically significant (P<0.008). Conclusion Nasal irrigation with 2.5% saline 10 min after ultrasonic atomization through nose and mouth is more beneficial to the improvement of nasal ventilation function and clinical efficacy in patients with chronic sinusitis.
戴锋; 谢佐君; 杨启明; 钟庄龙. 经口鼻超声雾化后鼻腔冲洗浓度和时机对慢性鼻窦炎术后鼻通气功能和临床疗效的影响[J]. 中国当代医药, 2022, 29(20): 113-117.
DAI Feng ; XIE Zuojun ; YANG Qiming; ZHONG Zhuanglong. Influence of nasal irrigation concentration and timing after ultrasonic atomization through nose and mouth on nasal ventilation function and clinical curative effect after operation of chronic sinusitis. 中国当代医药, 2022, 29(20): 113-117.