慢性鼻窦炎、鼻息肉与支气管哮喘相关性120例临床分析

目的 探讨慢性鼻窦炎、 鼻息肉与支气管哮喘的相关性. 方法 整群选取2014年1月—2015年1月期间来该院进行诊治的慢性鼻窦炎、鼻息肉(CRS)患者120例,均行鼻内镜手术进行治疗,根据患者术后病理诊断是否伴随有鼻息肉的情况,将患者分为CRS组和CRS伴息肉组两组,每组60例.行鼻腔鼻窦CT检查和鼻内镜检查,根据检查与临床观察结果,分析慢性鼻窦炎、鼻息肉与支气管哮喘的相关性. 结果 患者鼻窦病变范围合并变应性鼻炎和支气管哮喘的发生率差异无统计学意义(x2=1.832;P>0.05).患者鼻息肉分级合并变应性鼻炎和支气管哮喘的发生率差异无统计学意义(x2=2.934;P>0.05).患者的CRS病变范围与其肺功能呈显著正相关(r=0.454,P=0.003).患者的CRS息肉分级与其肺功能无相关性(r=0.106,P=0.649). 结论 临床认为,对于慢性鼻窦炎、鼻息肉合并支气管哮喘的患者,对于鼻息肉进行积极有效的治疗,清除其鼻分泌物,对于改善支气管哮喘患者的肺功能具有很大的裨益.

Clinical Analysis of the Correlation between Chronic Sinusitis,Nasal Polyps and Bronchial Asthma by 120 Cases

Objective To study the correlation between chronic sinusitis, nasal polyps and bronchial asthma. Methods 120 cases of patients with chronic sinusitis and nasal polyps (CRS)treated in our hospital from January 2014 to January 2015 were selected and treated with nasal endoscopic surgery and divided into CRS group and CRS with polyps group with 60 cases in each according to whether the patients was accompanied by nasal polyps or not by pathological diagnosis after op-eration, both groups were given CT examination of nasal sinuses and nasal endoscopy , the correlation between chronic si-nusitis, nasal polyps and bronchial asthma was analyzed according to the examination and clinical observation results. Re-sults There was no significant difference in the incidence of the lesion range of nasal sinus disease with allergic rhinitis and bronchial asthma in patients, which was not statistically significant (x2=1.832;P>0.05);there was no significant difference in the incidence of the lesion range of nasal polyps grading with allergic rhinitis and bronchial asthma in patients, which was not statistically significant (x2=2.934;P>0.05), CRS lesion range in patients was significantly positively correlated with pulmonary function (r=0.454,P=0.003).there was no correlation between CRS polyp grading and its pulmonary function (r=0.106,P=0.649). Conclusion Active and effective treatment for nasal polyp of patients with chronic sinusitis, nasal polyps and bronchial asthma and removal of nasal secretions are of great benefit to the improvement of lung function in bronchial asthma patients.