ABSTRACT
Objectives To investigate risk factors for postoperative intracranial infection after nasal endoscopic re-pair of cerebrospinal fluid rhinorrhea, in order to provide a reference for later treatment. Methods Selected 80 cases treated by nasal endoscopic repair of cerebrospinal fluid rhinorrhea from January 2010 to 2015 as study object, ret-rospective analyzed the clinical data such as the patient's age, gender, etiology, leak size, the leak location, prior in-tracranial infection, prophylactic antibiotics and postoperative application of antibacterial drug > 7 d, the number of operations, whether or not the operation using artificial materials, repair materials, repair of cerebrospinal fluid rhin-orrhea failure and by nasal endoscopic repair of cerebrospinal fluid rhinorrhea occurred between intracranial infec-tion. Results 4 of them (5.00 %) occurred intracranial infection. CSF bacterial culture show 8 strains of pathogenic bacteria were isolated, including 3 cases of leather of gram negative bacteria and 5 strains of leather of gram positive bacteria and gram positive bacteria were mainly Staphylococcus aureus and accounted for 40.00 %. Univariate anal-ysis showed that repair of cerebrospinal fluid rhinorrhea failure, improper surgical procedures, previous intracranial infection history, the choice of restorative materials and the size of the leak diameter > 1 cm and after endoscopic repair of cerebrospinal fluid rhinorrhea postoperative intracranial infection have some relevance ( 1 cm of intranasal endoscopic repair of cerebrospinal fluid rhinorrhea independent risk factor for postoperative intracranial infection ( 1 cm, previous history of intracranial infection, cerebrospinal fluid rhinorrhea repair a variety of factors fail, surgery failure factors are likely to increase patient after endoscopic repair of cerebrospinal fluid rhinorrhea intracranial infection the incidence.
ABSTRACT
Objective To observe the clinical efficacy of acupuncture at phenomaxillary ganglia in treating allergic rhinitis. Method Sixty patients with moderate-severe persistent allergic rhinitis were randomized into a treatment group and a control group, 30 cases in each group. The control group was intervened by oral administration of Loratadine plus Mometasone Furoate Nasal Spray, while the treatment group was by acupuncture at phenomaxillary ganglia in addition to the medicines given to the control group. Before treatment and after 4-week treatment, the peripheral blood immunoglobulin E (IgE) level and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) were observed in the two groups, and the clinical efficacies were compared.Result The IgE levels and RQLQ scores were significantly changed after treatment in both groups (P<0.01). After treatment, the IgE level and RQLQ score of the treatment group were significantly different from that of the control group (P<0.01,P<0.05). The total effective rate was 96.7% in the treatment group versus 83.3% in the control group, and the difference was statistically significant (P<0.05). Conclusion Acupuncture at phenomaxillary ganglia is an effective method in treating allergic rhinitis.