The Effectiveness of intranasal Saline Irrigation compared with non-irrigation on Sinonasal Symptoms in acute bacterial rhinosinusitis (ABRS) of adult patientin Department of Otolaryngology Head and Neck Surgery of Faculty of Medicine Vajira Hospital, Navamindradhiraj University
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Abstract
Objective: To compare the effectiveness of intranasal Saline Irrigation with non-irrigation on Sinonasal Symptoms in acute bacterial rhinosinusitis of adult patient and search for the additional method that alleviate symptoms and improve quality of life of adult patient with Acute bacterial rhinosinusitis.
Method: This study is a prospective randomized-controlled trial study.Patients who met the inclusion criteria were devided into 2 groups by random number program. The group A were received nasal saline irrigation and group B did not receive nasal irrigation. Both group received same treatment including oral antibiotics (amoxycillin-clavulanate) and pain control. All participants were requested to record symptoms with Visual analogue score (VAS 0-10) and Sinonasal outcome test (SNOT-20) at the first visit and were followed up at 1,2 and 4 weeks after the first visit.
Result: We included 54 participants with acute bacterial rhinosinusitis. 28 of 54 participants underwent normal saline nasal irrigation. 26 of 54 participants did not receive nasal irrigation. Both groups had significantly improved mean Visual analogue score in all symptoms and Sinosasal outcome test at 1st, 2nd and 3rd weeks after followed up compared with the first visit. But there were not statistically significant difference of VAS and SNOT between both groups after followed up at 1st, 2nd and 3rd weeks.
Conclusion: The Effectiveness of intranasal Saline Irrigation were not statistically different compared with non-irrigation on Sinonasal Symptoms for treatment of acute bacterial rhinosinusitis (ABRS) in adult patients in Department of Otolaryngology Head and Neck Surgery of Faculty of Medicine Vajira Hospital, Navamindradhiraj University
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References
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