Comparison of the efficacy of different nasal irrigation methods after nasal endoscopy
10.3969/j.issn.1673-9701.2025.07.012
- VernacularTitle:不同的鼻腔冲洗方法在鼻内镜术后应用的疗效比较
- Author:
Ru GUO
1
;
Guijun HE
1
Author Information
1. 连云港市第二人民医院耳鼻咽喉科,江苏连云港 222000
- Publication Type:Journal Article
- Keywords:
Chronic sinusitis;
Dexamethasone;
Nasal wash device;
Nasal irrigation;
Physiological saline
- From:
China Modern Doctor
2025;63(7):50-53
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the curative effect of different nasal irrigation methods on healing of operative cavity after functional endoscopic sinus surgery(FESS).Methods A total of 106 patients with sinusitis who underwent surgery in the Second People's Hospital of Lianyungang from October 2020 to January 2022 were selected as study objects.All patients were treated with FESS and were divided into group A(37 cases),group B(38 cases)and group C(31 cases)according to different postoperative nasal irrigation methods.Group A was given physiological saline+dexamethasone to irrigate the operative cavity,group B was given nasal washer to irrigate the operative cavity,and group C were given physiological saline to irrigate the operative cavity.Follow up 6 months after surgery,clinical efficacy and Lund-Kennedy score of three groups were observed and recorded.Results Six months after surgery,there was statistically significant difference in effective rate among three groups(x2=7.855,P=0.020).The effective rate of group A was significantly higher than that of group C(P＜0.05).Six months after surgery,the Lund-Kennedy score in three groups was significantly lower than before treatment(P＜0.05).There were significant differences in Lund-Kennedy scores among three groups(P＜0.05),and group A＜group B＜group C.Conclusion Irrigating operative cavity after nasal surgery can reduce mucosal inflammation,promote the regression of edema and discharge of secretions,dexamethasone can accelerate the epithelialization of the nasal cavity and sinus wounds,and improve clinical efficacy.
