Application of Traditional Chinese Medicine Sequential Therapy Combined with Functional Endoscopic Nasal Sinus Surgery and Peri-operative Comprehensive Treatment in Treating Chronic Rhinosinusitis Patients / 广州中医药大学学报

ABSTRACT

Objective To observe the therapeutic effect of traditional Chinese medicine sequential therapy combined with functional endoscopic nasal sinus surgery and peri-operative comprehensive treatment for chronic rhinosinusitis patients, thus to screen out more effective therapy for rhinosinusitis. Methods Sixty-six chronic rhinosinusitis patients admitted into our hospital from January of 2013 to December of 2013 were selected as the treatment group, and 63 chronic rhinosinusitis patients admitted into our hospital from January of 2012 to December of 2012 were selected as the control group. Both groups received functional endoscopic nasal sinus surgery and peri-operative comprehensive treatment, and the treatment group was given traditional Chinese medicine sequential therapy additionally, which included oral use of herbal medicine for expelling toxins to evacuate pus one month after operation, and acupoint catgut embedding therapy 2 months after operation. The scores of Sino-Nasal Outcome Test 20 ( SNOT-20) in both groups were observed 3, 6 months after operation, the therapeutic effect and patients’ satisfaction in both groups were also compared 6 months after operation. Results (1) Treatment group had better effect on improving the scores of nasal symptoms, associated symptoms, sleep disorders, emotional outcome and signs of SNOT-20, and on improving symptoms and signs integral scores than the control group 3, 6 months after operation (P<0.05). (2) In the treatment group, 57 cases were cured, 7 were relieved, 2 were ineffective, and the total effective rate was 97.0%; in the control group, 48 cases were cured, 10 were relieved, 5 were ineffective, and the total effective rate was 92.1%. The treatment group had better therapeutic effect than the control group (P<0.05). (3) The treatment group had higher patients’ satisfaction than the control group ( P<0.05). Conclusion Traditional Chinese medicine sequential therapy combined with functional endoscopic nasal sinus surgery and peri-operative comprehensive treatment is effective for the treatment of chronic nasal sinusitis patients, which can significantly relieve the general symptoms of the patients, enhance the total effective rate, and improve patients’ satisfaction.