周小玲 杜红梅 许文婷

[摘要]目的 比较徒手负压滴鼻法与传统滴鼻法治疗慢性鼻炎的效果。方法 选择2016年6月～2017年12月前来我院医治的慢性鼻炎患者100例，随机分成观察组（n=50）与对照组（n=50）。对照组患者采用传统滴鼻法进行用药治疗，观察组患者采用徒手负压滴鼻法治疗。记录两组患者的感受、鼻腔症状是否减轻、药液浪费情况，并比较两组患者的治疗满意度。结果 观察组患者药液流入咽喉部感觉、鼻腔症状加重、药液浪费所占比例均低于对照组，差异有统计学意义（P<0.05）。觀察组患者的总满意度（94.0%）显著高于对照组（66.0%），差异有统计学意义（P<0.05）。结论 徒手负压滴鼻法能避免药液浪费，延长药物的吸收和作用时间，提高预期治疗效果，值得在临床进一步推广应用。

[关键词]慢性鼻炎；徒手负压滴鼻法；药液浪费；满意度

[中图分类号] R765.21 [文献标识码] A [文章编号] 1674-4721（2018）12（b）-0110-03

[Abstract] Objective To compare effect of manual negative pressure nose drop method and traditional nose drop method treating chronic rhinitis. Methods A total of 100 patients with chronic rhinitis treated in our hospital from June 2016 to December 2017 were selected and they were randomly divided into the observation group （n=50） and the control group （n=50）. The patients in the control group were given conventional nasal drip， while patients in the observation group were given manual negative pressure nose drop method. The feelings， whether the symptoms of nasal cavity lightened and liquid waste in patients between the two groups were recored and the satisfaction degree of treatment in patients between the two groups was compared. Results The percentages of medicinal liquid flowing into pharynx and throat， aggravating nasal symptoms and wasting of medicinal liquid in the observation group were lower than those in the control group， and the differences were statistically significant （P<0.05）. The total satisfaction degree of the observation group （94.0%） was significantly higher than that of the control group （66.0%）， and the difference was statistically significant （P<0.05）. Conclusion Manual negative pressure nose drop method can avoid drug wasting， promote the absorption and action time of drugs， and enhance the expected therapeutic effect， which is worthy of further promotion and application in clinic.

[Key words] Chronic rhinitis； Manual negative pressure nose drop； Liquid waste； Satisfaction degree

鼻炎是一种常见的鼻腔黏膜炎症性疾病，根据症状可分为急性、慢性，严重影响患者的健康生活[1-2]。慢性鼻炎常有鼻塞、鼻黏膜增厚、鼻腔分泌物增多，或发生肿胀等，有单纯性和肥厚性两种类型，常发于冬季，该病易反复，迁延不愈，甚至影响患者的智力发育[3]。因此，临床处理慢性鼻炎应该及时诊断、科学治疗，对患者的身体康复才有促进作用[4]。选用正确有效的滴鼻法是提高药物吸收率的关键所在。本研究比较徒手负压滴鼻法与传统滴鼻法治疗慢性鼻炎的效果，现报道如下。

1 资料与方法

1.1 一般资料

选择2016年6月～2017年12月前来我院医治的慢性鼻炎患者100例。纳入标准：①满足中华耳鼻咽喉头颈外科杂志编委会颁布的《慢性鼻-鼻窦炎诊断和治疗指南》[5]中有关疾病的标准；②确诊为慢性鼻炎。排除标准：①患有鼻息肉及下呼吸道感染；……