136例常年性变应性鼻炎综合治疗的临床观察

目的总结常年性变应性鼻炎综合治疗的临床疗效。方法联合应用包括丙酸氟替卡松鼻喷雾剂、盐酸西替利嗪、鼻内镜下鼻腔黏膜神经高频电灼术和鼻内解剖结构正常化手术在内的综合疗法治疗136例常年性变应性鼻炎患者，疗后随访1年，总结分析其临床疗效。结果随访结果表明，本组患者显效110例（80．88％），有效24例（17．65％），无效2例（1．47％），总有效率98．53％。复发患者49例（36．02％），其0796％的病例症状较治疗前明显减轻。结论综合疗法治疗常年性变应性鼻炎疗程短而且疗效显著，有较好临床应用价值。

Observation on the therapeutic effects of combined therapy among 136 cases with perennial allergic rhinitis

Objective To sum up the therapeutic effects of the combined therapy on perennial allergic rhinitis （PAR） based on a clinical trial. Methods Included in this study were 136 cases with PAR treated by the combined therapy with the use of Fluticasone propionate nasal spray, orally taken cetirizine hydrochloride, high-frequency electrocautery procedure to the related nasal nerves carried out under nasal endoscope and intranasal structure-normalizing surgical program. Then, the therapeutic effects of the therapy were summed up via a careful analysis on their clinical data, by the end of following up period lasted for one year. Results As evaluated by the end of following up period, 110 patients （80.88%） were shown significantly effective, 24 cases （17.65%） were effective and 2 （1.47%） shown ineffective, with a total effective rate of 98.53%. In this group of cases, 49 （36.02%） were seen with the condition relapsed, while 96% were with their recmdescent symptoms much lessened among these cases as compared with that before the therapy used. Conclusions The combined therapy is obviously effective in the treatment of PAR, with its therapeutic course much shortened further. Therefore, it is worthy to promote this kind of therapy into wider use in clinic practice.