超短波治疗对小儿慢性鼻-鼻窦炎的临床观察

摘要

Objective To evaluate the clinic effect of ultrashort wave on the symptoms and quality of life of children's chromc rhinosinusitis.Methods Patients completed a Rhinosinusitis Disability Index Questionnaire to observe the symptom and quality of life according of chronic rhinosinusitis at the 4 points of time:before therapy,after 0.5,1,3 months of therapy.Results Patients' s general status before treatment had no significant difference between 2 groups.There were statistical differences of symptoms between points of time (F=167.421,P＜0.05);no relationship between symptoms with groups (F=0.545,P＞0.05),but with group of time (F=2.780,P＜0.05).There are statistical differences of symptoms of reliefs after 2 weeks of therapy with the methods of multifactor analysis of variance (P＜ 0.05).And on the effect of quality of life,there were statistical differences between points of time (F=150.193,P＜0.05);No relationship between groups (F=2.898,P＞0.05),and also no interactional effect between groups and time.Conclusion Combined with ultrashort wave improves the reliefs of symptoms and quality of life on children's chronic rhinosinusitis.%目的 评价超短波辅助治疗改善儿童慢性鼻-鼻窦炎症状及提高慢性鼻-鼻窦炎生活质量的疗效.方法 选取20例儿童慢性鼻-鼻窦炎患儿随机分为两组,试验组(药物基础上联合超短波治疗)和对照组(常规药物治疗)各10例.分别使用RDI(rhinosinusitis disability index,鼻-鼻窦炎失能指数)的鼻部症状子量表和健康相关生活质量子量表,在治疗前、治疗后0.5、1、3个月这4个时间点,评价两组鼻部症状及生活质量的影响.结果 治疗前两组患儿资料组间差异无显著性.鼻部症状方面,各组治疗前后不同时间之间差异有显著性(F=167.421,P＜0.05);症状总体改善与分组无关(F=0.545,P＞0.05),但与分组的时点相关(F=2.780,P＜0.05).多因素方差分析显示在在治疗后2周时治疗组症状改善差异有显著性(P＜0.05).对生活质量的影响方面,治疗前后不同时间之间有显著差异(F=150.193,P＜0.05);生活质量总体改善与分组无关(F=2.898,P＞0.05),分组与时间也未见交互相应.结论 常规药物联合超短波治疗小儿慢性鼻-鼻窦炎,可有效缓解慢性鼻-鼻窦炎相关症状,提高患儿的生活质量.