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[Clinical observation of mometasone furoate nasal spray combined with montelukast sodium in the treatment of adenoid hypertrophy in children].

Abstract
Objective:To study the clinical effect of mometasone furoate nasal spray combined with montelukast in the treatment of adenoid hypertrophy in children.Method:One hundred and thirty eight cases with adenoid hypertrophy were randomly divided into two groups, 69 cases in each group; the control group were treated with mometasone furoate nasal spray alone; the observation group were treated with mometasone furoate combined with oral montelukast. Adenoid nasopharynx ratio (A/N), and the proportion of overall recurrence after treatment of nasal obstruction were compared, also with snoring, mouth breathing rate, life quality score before and after treatment in the two groups, and finally compared the clinical total effective ratio.Result:Compared with before treatment, A/N of two groups of patients were significantly decreased, and the observation group decreased more significantly, the difference between the two groups was significant (P< 0.05); nasal obstruction, snoring, mouth breathing rate of observation group were significantly lower than the control group, and the recurrence rate also lower than the control group, the difference was statistically significant (P< 0.05). The quality of life scores, sleep disorder scores, physical status score and daily function score in the two groups were significantly decreased after treatment, and in observation group the three scores were decreased more significantly, the difference between the two groups was statistically significant (P< 0.05). The total efficiency of the observation group was 94.1%, which was statistically higher than the control group (79.4%, P< 0.05).Conclusion:The clinical efficacy of mometasone furoate nasal spray combined with montelukast in the treatment of adenoid hypertrophy in children is significant, which can effectively reduce the adenoid nasopharynx ratio, improve the symptoms of snoring, mouth breathing, nasal congestion, improve the quality of life of patients, and the effective ratio was higher than single drug treatment, which was worthy to apply on clinic.
AuthorsW Liu, R J Chen
JournalLin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery (Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi) Vol. 31 Issue 5 Pg. 366-368 (Mar 05 2017) ISSN: 2096-7993 [Print] China
PMID29871263 (Publication Type: Journal Article, Randomized Controlled Trial)
CopyrightCopyright© by the Editorial Department of Journal of Clinical Otorhinolaryngology Head and Neck Surgery.
Chemical References
  • Acetates
  • Anti-Allergic Agents
  • Anti-Inflammatory Agents
  • Cyclopropanes
  • Nasal Sprays
  • Pregnadienediols
  • Quinolines
  • Sulfides
  • Mometasone Furoate
  • montelukast
Topics
  • Acetates (administration & dosage, therapeutic use)
  • Adenoids (drug effects, pathology)
  • Administration, Intranasal
  • Anti-Allergic Agents
  • Anti-Inflammatory Agents (administration & dosage, therapeutic use)
  • Child
  • Cyclopropanes
  • Humans
  • Hypertrophy (complications)
  • Mometasone Furoate (administration & dosage, therapeutic use)
  • Nasal Obstruction (drug therapy, etiology)
  • Nasal Sprays
  • Pregnadienediols
  • Quality of Life
  • Quinolines (administration & dosage, therapeutic use)
  • Sulfides
  • Treatment Outcome

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