การศึกษาเปรียบเทียบประสิทธิภาพในการดูแลรักษาผู้ป่วยหลังผ่าตัดโพรงจมูกไซนัส หรือผู้ป่วยที่เป็นโรคไซนัสอักเสบเรื้อรังระหว่างการล้างจมูกและใช้เครื่องพ่นละอองน้ำยาชนิดอัลทราโซนิกส์ กับการล้างจมูกและใช้การต้มน้ำสูดละอองไอน้ำเอง

Abstract

To compare of the efficacy of post operative FESS or chronic sinusitis between nasal lavarge with ultrasonic nebulizer and nasal lavage with vapourized water inhalation Study Design: Prospectively randomized controltrial study Materials and Methods: Patient with chronic sinusitis or post operative FESS were randomized in 2groups  1. nasal lavarge with ultrasonic nebulizer group 2 nasal lavage with vapourized water inhalation group. Allof  these were underwent history taking to assess nasal symptom score (i.e. nasal congestion mucus secretion nasalirritation cough/sneezing facial/sinus pain) and nasal signs score (i.e. nasal mucosa inflammation and swelling amount of crust mucus and secretion color of crust mucus and secretion). Saccharin test was underwent to assessmucocilialy  function at day 1, 7, 14, 30. Statistic method: The efficacy of treatment of the two groups were assessby   hi-square test or Fisher’s exact test and for the Saccharin test of two study groups were assess by Independentt test or Mann-Whitney U test ( p value =0.05). Result: The nasal lavarge with ultrasonic nebulizer group had nasalsymptom  score i.e. nasal congestion mucus secretion and mucocilialy function test ( Saccharin test) were better than the  nasal lavage with vapourized water inhalation group (p-value <0.05). Conclusion: The patients with chronicsinusitis  or posts operative FESS patients who underwent nasal lavarge with ultrasonic nebulizer group had nasalsigns  and symptoms  better than the nasal lavage with vapourized water inhalation group (p-value <0.05).