清利塞鼻洗液在内镜鼻窦手术后的应用

目的：研究清利塞鼻洗液术腔冲洗对内镜鼻窦术后鼻黏膜形态和功能的影响。方法：将Ⅰ型2、3期及Ⅱ型慢性鼻窦患者85 例于行内镜鼻窦术后，随机分为清利塞组与对照组；冲洗术腔时清利塞组用清利塞鼻洗液，对照组按传统方法用地塞米松+硫酸庆大霉素；观察其术腔清洁时间、术腔黏膜病变出现时间、上皮化时间以及术后症状改善及疗效等。结果：两组在术腔清洁时间及上皮化时间组间差异有统计学意义（P＜0.0005，0.01＜P＜0.025）,术腔黏膜病变出现时间差异无统计学意义(P＞0.05)，1年后临床疗效及术后症状、体征改善清利塞组优于对照组（P＜0.05）。结论：清利塞鼻洗液在内镜鼻窦手术后术腔冲洗较传统冲洗方法有显著的优点，值得进一步研究应用。

Qinglisai nasal irrigetion after endoscopic sinus surgery

Objective: To explore the effect of Qinglisai nasal irrigation locally used after endoscopic sinus surgery. Method: Eighty-five patients were randomly divided into two groups: the Qinglisai nasal irrigation group and the Gentamicin plus Decadron group. Result: The clearing time and mucous epithelization time were significantly different between the two groups(P＜0.000?5，0.01＜P＜0.025), but the time to the postoperative mucous disease was not significantly different(P＞0.05). Conclusion: Qinglisai nasal irrigation after endoscopic sinus surgery is excellent on the mucous and is of value to be popularized in clinics.