鼻渊舒口服液治疗儿童慢性鼻窦炎伴腺样体肥大的临床研究

目的：探讨中成药制剂鼻渊舒口服液治疗儿童慢性鼻窦炎伴腺样体肥大以及腺样体吸割术对儿童慢性鼻窦炎疗效的影响。方法：对80例慢性鼻窦炎经非手术治疗无效且伴腺样体肥大的儿童,采用XPS动力吸割系统及鼻内镜,在电视显示系统监视下行腺样体吸割术,术后辅以中成药鼻渊舒口服液治疗,观察其疗效。结果：80例患儿手术经过顺利,术后无出血及并发症发生,慢性鼻窦炎及腺样体肥大所引起的相关临床症状改善明显。术后慢性鼻窦炎经药物治疗后治愈72例,好转6例,无效2例,有效率97.5%。随访6～12个月,无复发及远期并发症。结论：儿童慢性鼻窦炎与腺样体肥大之间有一定的相关性,术后应用中成药鼻渊舒口服液具有良好的治疗效果,可作为儿童慢性鼻窦炎伴腺样体肥大的一种治疗方法。

Clincal Observation on Chronic Sinusitis and Adenoidal Hypertrophy in Children Treated with Bi-yuan-shu Oral Liquid

Objective： To explore the relation between chronic sinusitis and adenoidal hypertrophy and the effect of adenoidec- tomy with debrider on the development of chronic sinusitis in children. Methods： Eighty cases pediatric chronic sinusitis with adenoi- dal hypertrophy were performed transoral adenoidectomy with nasal endoscopy, Xomed power system and video monitoring under general anesthesia, meanwhile general therapy was applied for them. Results： All surgeries were successful and all cases were recovered with- out bleeding and complications. After adenoidectomy the clinical symptom improved obviously. The disease was cured in 72 patients, progressive in 6, and not improved in 2. The response rate was 97.5%. Follow up for 6 ~ 12 months found no recurrence and compli- cations. Conclusion： There are some relation between adenoidal hypertrophy and chronic sinusitis in children. Therefore nasal endos- copy-assisted adenoidectomy with debrider was an minamally invasive and more effective treatment for chronic sinusitis with adenoidal hypertrophy in children. It was an effective method that the treatment of chronic sinusitis with adenoidal hypertrophy in children