Meta-analysis of the effect of the correction of deviation of the nasal septum in patients with allergic rhinitis

doi:10.3969/j.issn.1006-7795.2018.06.023

Abstract

Abstract: Objective To evaluate the treatment effect of endoscopic nasal septum surgery on perennial allergic rhinitis patients with nasal septum deviation by the method of Meta analysis. Methods Allergic rhinitis on endoscopic nasal septum surgery treatment with nasal septum deviation the Cochrane searched PubMed database, The Cochrance Library database, VIP Database for Chinese Technical Periodicals, Wanfang database, China National Knowledge Infrastructure(CNKI) database and Baidu academic pool total randomized clinical test (RCT), a systematic description and analysis Meta to meet the requirements of RCT. Results Eight RCT were finally included. A total of 774 patients met the inclusion criteria. The results of Meta analysis showed that compared with the control group, the clinical efficacy of the nasal septum correction group was significantly higher than that of the control group (Z=5.47, P<0.01, OR=5.89, 95%CI:3.12~11.12); the clinical curative effect of nasal septum surgery after 6 months in the treatment group was significantly higher than the control effect (Z=3.39, P<0.01, OR=5.49, 95%CI:2.05~14.07); nasal resistance results show that the correction of nasal septum surgery group was significantly lower than the control group (Z=31.08, P<0.01, OR=-0.28, 95% CI:-0.30~-0.26). Conclusion Compared with conservative treatment, endoscopic correction of nasal septum deviation can significantly improve the clinical symptoms of perennial allergic rhinitis with nasal septum deviation. The curative effect is definite, but the long-term effect is worth further study.

Key words: endoscopic sinus surgery, deviation of nasal septum, allergic rhinitis, clinical curative effect, Meta analysis

CLC Number:

R765

Xu Qingqing, Duan Su, Wang Xiangdong, Zhang Luo. Meta-analysis of the effect of the correction of deviation of the nasal septum in patients with allergic rhinitis[J]. Journal of Capital Medical University, 2018, 39(6): 928-932.

0
/ / Recommend

Add to citation manager EndNote|Reference Manager|ProCite|BibTeX|RefWorks

URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2018.06.023

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2018/V39/I6/928

References

[1] 陈静,尤易文,严勇兵,等. 经鼻内镜鼻中隔矫正下鼻甲部分切除治疗难治性变应性鼻炎的疗效[J]. 实用医学杂志,2013,29(24):4087-4089.
[2] 张艳龙.鼻中隔偏曲矫正术治疗变态反应性鼻炎的疗效观察[J]. 中外医学研究,2013,11(1):31-32.
[3] 何志刚,张云高. 鼻内镜下鼻中隔矫正术治疗变态反应性鼻炎的临床观察[J].齐齐哈尔医学院学报,2014,35(13):1909-1910.
[4] 朱秋蓓,张速勤,吴静娴,等. 持续性变应性鼻炎患者鼻中隔中神经肽的初步研究[J]. 临床耳鼻喉头颈外科杂志,2009,23(8):339-342.
[5] 林伟年,杨劲松,林金超,等. 常年性变应性鼻炎手术前后鼻粘膜超微结构的变化[J]. 中华临床免疫和变态反应杂志,2010,4(4):289-293.
[6] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 变应性鼻炎诊断和治疗指南(2015年,天津)[J]. 中华耳鼻咽喉头颈外科杂志,2016,51(1):6-24.
[7] 中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 变应性鼻炎诊断和治疗指南(2009年,武夷山)[J]. 中华耳鼻咽喉头颈外科杂志,2009,44(12):977-978.
[8] Jadad A R,Moore R A,Carol D,et al.Asesing the quality of reports of randomized clinical trials:is blinding necesary[J].Control Clin Trials,1996,17(1):1-12.
[9] 马莉,李荣,马珺,等.鼻中隔矫正术及下鼻甲部分切除术治疗变应性鼻炎临床效果分析[J]. 中国现代医生,2016,54(32):77-79.
[10] 杜经纬,杨晓玲,彭涛,等.鼻内镜下鼻中隔矫正术对治疗变态反应性鼻炎的临床效果分析[J].解放军预防医学杂志,2016,34(3):92.
[11] 兰花,陶正.鼻中隔矫正术治疗合并鼻中隔偏曲的常年性变应性鼻炎[J].宜春学院学报,2014,36(12):65-67.
[12] 刘柏生.手术治疗变应性鼻炎伴鼻中隔偏曲100例临床观察[J].医学理论与实践,2015,28(11):1498-1499.
[13] 朱世明.鼻中隔偏曲矫正术治疗变应性鼻炎合并鼻中隔偏曲的效果分析[J].临床医学工程,2017,24(2):217-218.
[14] 田秋菊.鼻中隔矫正治疗鼻中隔偏曲伴变应性鼻炎疗效观察[J].中国卫生标准管理,2016,11(41):63-64.
[15] 吴俊涛,饶裕民,游全贵,等.鼻内镜下鼻中隔矫正术治疗中隔偏曲伴变应性鼻炎的疗效[J].实用临床医学,2015,16(1):79-80.
[16] 潘秀云,李月光.鼻内镜下微创手术治疗伴鼻中隔偏曲鼻甲肥大的常年性变应性鼻炎的疗效观察[J].世界中医药,2015,10:583-584.
[17] Jareoncharsri P,Thitadilok V,Bunnag C,et al. Nasal endoscopic findings in patients with perennial allergic rhinitis. Asian Pac[J]. J Allergy Immunol,1999,17(4):261-267.