影响儿童慢性鼻窦炎非手术疗效的多因素分析

目的：探讨影响儿童慢性鼻窦炎非手术治疗效果的各种因素，以期提高非手术治疗的疗效。方法：回顾分析58例采用非手术治疗的慢性鼻窦炎患儿的临床资料，采用Logistic回归法分析了性别、年龄、病程、鼻窦炎分期、病变鼻窦数、伴发腺样体肥大、伴发变应性鼻炎、上颌窦穿刺、疗程等因素对疗效的影响。结果：患儿病史长短、治疗的疗程以及是否伴发腺样体肥大及变应性鼻炎是影响非手术疗效的重要因素。结论：对于儿童鼻窦炎应予以足量疗程的药物综合治疗，并积极处理腺样体肥大及变应性鼻炎。

Therapeutic efficacy of non-operation for chronic sinusitis in children:A multi-factor analysis

To investigate the factors influence in the non operation therapeutic efficacy for chronic sinusitis in children. Method: Logistic regression analysis was performed for sex, age, case history, sinusitis stage, involved sinus number, adenoid hypertrophy, allergic rhinitis, puncture antral and course of treatment in 58 patients treated with combined therapy. Result: Case history, adenoid hypertrophy, allergic rhinitis and course of treatment were the important factors influenced the non operation therapeutic efficacy. Conclusion: Full dose and course of treatment should be applied to children with chronic sinusitis, and adenoid hypertrophy and allergic rhinitis should be treated actively.