中山醫學大學機構典藏 CSMUIR:Item 310902500/10491
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    题名: Efficacy of nasal irrigation in the treatment of acute sinusitis in children.
    作者: Wang YH
    Yang CP
    Ku MS
    Sun HL
    Lue KH
    贡献者: 中山醫學大學
    关键词: Acute sinusitis;Normal/isotonic saline nasal irrigation;Nasal peak expiratory flow rate;Atopy
    日期: 2009-12
    上传时间: 2015-03-18T04:27:43Z (UTC)
    ISSN: 0165-5876
    摘要: BACKGROUND:
    Nasal irrigation has been used as an adjunctive therapy of sinonasal disease including acute/chronic sinusitis and allergic rhinitis. Several published articles reported it also improves clinical sinus symptoms.
    OBJECTIVE:
    To evaluate the effectiveness of normal saline nasal irrigation in the management of acute sinusitis in children.
    DESIGN:
    This was a randomized, prospective placebo-controlled study.
    METHODS:
    We included 69 participants with acute sinusitis. 30 of 69 participants underwent normal saline nasal irrigation. 39 of 69 participants were not receiving nasal irrigation. All participants performed nasal peak expiratory flow rate (nPEFR) test, nasal smear examination, radiography (Water's projection) and requested to complete the Pediatric Rhinoconjunctivitis Quality of Life Questionnaires (PRQLQ) at the baseline visit. All participants were requested to record the symptom diary card every day and were followed-up every 1 week during this period. A physical examination, nasal smear and nPEFR were performed at each visit, and all daily diary cards collected. At the final visit, the symptoms diaries were reviewed and participants were requested to complete the PRQLQ again. The nPEFR, radiography (Water's projection) and nasal smear were also repeated.
    RESULTS:
    Normal saline irrigation group significantly improved mean PRQLQ values and nPEFR values at medium (T=2.816, P<0.05) and final period (T=2.767, P<0.05) compared with the other group. Although there were no statically significant improving rate of radiography (Water's projection) in among two groups (T=0.545, P>0.05), but normal saline irrigation group was better than the other group. The improval rate of mean TSS in the irrigation group significantly improved all symptoms compared with the placebo group, in which rhinorrhea, nasal congestion, throat itching, cough and sleep quality improved. 27 of 66 (40.9%) participants with atopy, 16 of 27 (53.33%) participants underwent normal saline irrigation. Normal saline irrigation atopy group significantly improved rhinorrhea, nasal congestion, throat itching and sleep quality symptoms compared with non-irrigation atopy group. Normal saline irrigation atopy group significantly improved nPEFR values at final period (Z=2.53, P<0.05).
    CONCLUSION:
    This study evidence that normal saline nasal irrigation improves Pediatric Rhinoconjunctivitis Quality of Life and decreases acute sinusitis symptoms. Nasal irrigation is an effective adjunctive treatment for pediatric acute sinusitis. Normal saline nasal irrigation in atopy children also improves allergic-related symptoms. We may need larger, longer and extended study to assess the conclusion.
    URI: https://ir.csmu.edu.tw:8080/ir/handle/310902500/10491
    http://dx.doi.org/10.1016/j.ijporl.2009.09.001
    關聯: Int J Pediatr Otorhinolaryngol. 2009 Dec;73(12):1696-701
    显示于类别:[醫學系] 期刊論文

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