慢性鼻窦炎、鼻息肉与支气管哮喘相关性120例临床分析

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1、慢性鼻窦炎、肉与支气管哮喘相关性120例临床分析［摘要］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

2、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。［关键词］慢性鼻窦炎；鼻息肉；支气管哮喘；相关性［中图分类号］R765［文献标识码］A［文章编号］1674-0742(2016)01(a)-0

3、060-03ClinicalAnalysisoftheCorrelationbetweenChronicSinusitis,NasalPolypsandBronchialAsthmaby120CasesZHANGTie-yingRespiratoryMedicineDepartment,ShenyangWeikangHospital,Shenyang,LiaoningProvince,110004China[Abstract]ObjectiveTostudythecorrelationbetweenchronicsinusitis,

4、nasalpolypsandbronchialasthma.Methods120casesofpatientswithchronicsinusitisandnasalpolyps(CRS)treatedinourhospitalfromJanuary2014toJanuary2015wereselectedandtreatedwithnasalendoscopicsurgeryanddividedintoCRSgroupandCRSwithpolypsgroupwith60casesineachaccordingtowhethert

5、hepatientswasaccompaniedbynasalpolypsornotbypathologicaldiagnosisafteroperation,bothgroupsweregivenCTexaminationofnasalsinusesandnasalendoscopy，thecorrelationbetweenchronicsinusitis,nasalpolypsandbronchialasthmawasanalyzedaccordingtotheexaminationandclinicalobservation

6、results.ResultsTherewasnosignificantdifferenceintheincidenceofthelesionrangeofnasalsinusdiseasewithallergicrhinitisandbronchialasthmainpatients,whichwasnotstatisticallysignificant(x2=1.832；P>0.05)；therewasnosignificantdifferenceintheincidenceofthelesionrangeofnasalpoly

7、psgradingwithallergicrhinitisandbronchialasthmainpatients,whichwasnotstatisticallysignificant(x2=2.934；P>0.05)，CRSlesionrangeinpatientswassignificantlypositivelycorrelatedwithpulmonaryfunction(r=0.454，P=0.003).therewasnocorrelationbetweenCRSpolypgradinganditspulmonaryf

8、unction(r=0.106，P=0.649).ConclusionActiveandeffectivetreatmentfornasalpolypofpatientswithchronicsinusitis,nasalpolyps