罗红霉素治疗鼻咽炎的临床分析

摘要

Objective TO observe the efficacg ot the application of Roxithromycin Tablets in the treatment of nasopharyngitis with the presence of postnasal drip syndrome (PNDS) and expolre a more effective way for nasopharyngitis. Methods All patients with the presence of PNDS was evaluated by nasal endoscopy and CT to exclude Chronic rhinvsinusitis ,allergic rhinitis Chronic rhinitis 100 nasopharyngitis patients were nandomly divided into Roxithromycin group(n=50),topical budesmide powder group (n=25) ,physiological sea water microspray group (n=25). Results Compared with the other two groups ,the Roxithromycin group achievecl desired outcomes after two months of treatment .In the Roxithromgcin group ,26cases were cared,13cases were effectine 6cases were improved ,5 cases were invalid ,and total effective rate was 90%,In the physiological sea water microspray group,3cases were cared ,5 cases were effective,8cases were improred 9 cases were invalid ,and total effective rate was 64%,In the budesonid pouder group ,7 case were cared, 8 cases were effective 5 cases were improved 5cases were invslid ,and total effective rate was 80%.Couclusion The application of Roxithromycin Tablets in the treatment of nasopharyngitis with PNDS is one of the effective methods .%目的：观察应用罗红霉素治疗表现为鼻后滴漏综合征（PNDS）的鼻咽炎的疗效，探讨治疗鼻咽炎的有效方法，符合条件的100例鼻咽炎患者随机分成3组：鼻朗（生理性海盐）组（25例），雷诺考特组（25例），罗红霉素组（50例）。方法表现为鼻后滴漏的就诊患者经临床检查，排除变应性鼻炎、慢性鼻炎、化脓性鼻窦炎，经鼻内镜检查诊断为鼻咽炎。分别给予鼻朗冲洗鼻腔、吸入雷考特、口服罗红霉素治疗，疗程2个月。结果罗红霉素治疗表现为鼻后滴漏的鼻咽炎相对其他二组，显效快，痊愈26例，显效13例，好转6例，无效5例，总有效率90%，鼻朗组短期效果好，停药后症状复发，痊愈3例，显效5例，好转8例，无效9例，总有效率64%。雷诺考特组痊愈7例，显效8例，好转5例，无效5例，总有效率80%。结论口服罗红霉素是治疗表现为鼻后滴漏的鼻咽炎的有效方法之一。