老年慢性鼻-鼻竇炎及伴鼻息肉患者并發(fā)支氣管哮喘和肺功能下降相關(guān)性
發(fā)布時間:2018-04-22 14:40
本文選題:慢性鼻-鼻竇炎 + 支氣管哮喘 ; 參考:《中國老年學(xué)雜志》2014年13期
【摘要】:目的探討慢性鼻-鼻竇炎與老年支氣管哮喘的相關(guān)性。方法慢性鼻-鼻竇炎的患者70例分為單純性慢性鼻-鼻竇炎(A組,n=31)和慢性鼻-鼻竇炎伴鼻息肉(B組,n=39)兩組,觀察不同分期慢性鼻-鼻竇炎患者的支氣管哮喘和變應(yīng)性鼻炎的發(fā)病率、不同分期慢性鼻-鼻竇炎合并哮喘患者的肺功能、不同分級慢性鼻-鼻竇炎合并鼻息肉患者的支氣管哮喘和變應(yīng)性鼻炎的發(fā)病率、有哮喘的不同分級慢性鼻-鼻竇炎合并鼻息肉患者的肺功能、兩組患者與合并哮喘患者的鼻內(nèi)鏡、鼻竇CT和癥狀的評分。結(jié)果 A組病程明顯低于B組(P=0.009);單純性慢性鼻-鼻竇炎Ⅰ、Ⅱ和Ⅲ期患者并發(fā)支氣管哮喘的概率有顯著差異(P=0.031);8例慢性鼻-鼻竇炎合并哮喘患者的各分期肺功能有顯著差異(P=0.028);單純鼻竇炎合并哮喘患者的癥狀評分明顯高于單純鼻竇炎患者(P0.01)。鼻息肉合并哮喘患者的癥狀評分明顯高于鼻息肉患者(P0.01)。結(jié)論單純性慢性鼻-鼻竇炎與老年患者支氣管哮喘發(fā)病率及肺功能下降密切相關(guān),鼻竇炎老年患者合并支氣管哮喘能夠顯著增加臨床癥狀。
[Abstract]:Objective to investigate the relationship between chronic rhinosinusitis and bronchial asthma in the elderly. Methods 70 patients with chronic rhinosinusitis were divided into two groups: simple chronic rhinosinusitis group A (n = 31) and chronic rhinosinusitis with nasal polyp group B (n = 39). To observe the incidence of bronchial asthma and allergic rhinitis in patients with chronic rhinosinusitis at different stages, and the pulmonary function of patients with chronic rhinosinusitis complicated with asthma in different stages. The incidence of bronchial asthma and allergic rhinitis in patients with chronic rhinosinusitis and nasal polyps in different grades, and pulmonary function in patients with chronic rhinosinusitis and nasal polyps in different grades of asthma. Nasal endoscopy, sinus CT and symptom scores in both groups and patients with asthma. Results the course of disease in group A was significantly lower than that in group B (P 0.009), and simple chronic rhinosinusitis 鈪,
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