封成生 陈登巨

    内容提要 为研究15%硝酸银鼻腔局部应用治疗变态反应性鼻炎的效果和机理,将15%硝酸银涂敷于下鼻甲前端和相对应的鼻中隔粘膜。结果表明,打喷嚏、流水样涕、鼻塞、头痛,分别有76.4%、74.2%、68.9%、74.0%的患者得到控制和缓解,随访1～3年,26.9%的患者疗效较好,余者在初次治疗后6个月至3年内复发,经2～3次治疗临床症状缓解和得到控制。提示该法治疗变态反应性鼻炎和血管舒缩性鼻炎效果较好,且使用方便、安全,可反复使用,无副作用,患者易接受。

    关键词 鼻炎,变应性,常年性;鼻炎,血管运动性;硝酸银

    中图分类号 R 765.21

    TREATMENT OF ALLERGIC AND VASOMOTOR RHINITIS BY

    THE LOCAL APPLICATION OF 15% SILVER NITRATE

    Feng Chengsheng

    The Staff & Workers′ Hospital of Dongxin group,Lianyungang,222248

    Chen Dengju

    The Frist People′s Hospital of Huaiyin

    Abstract Eighty-nine cases were treated with coating method with 15% silver nitrate on the front of inferior nasal concha and the septum mucosa.The results indicated that syndromes such as sneezing,watery rhinorrhea,nasal obstruction and headache were remitted at the rate of 76.4%,74.2%,68.9%,74.0% respectively.Followed up from 1 to 3 years,26.9% of the patients got good results,others reoccurred at a period of 6 to 36 months,but was remitted or controlled by treating 2～3 times.The study shows that 15% silver nitrate is a promising mode of treatment for allergic and vasomotor rhinitis,as it is safe and can be used repeatedly. ......