
CLINICAL-FUNCTIONAL AND MICROBIOLOGICAL INDICATORS OF THE MUCOUS MEMBRANE OF THE NASAL CAVITY IN PATIENTS WITH CHRONIC POLYPOUS RHINOSINUSITIS
Abstract
The functional state of the nose have shown a decrease in respiratory function in patients with chronic “ eosinophilic ” polypous rhinosinusitis, that is, nasal patency ( FEF75/MOS75) was - 2 9 , 4 0, 8 ( p<0.001 in relation to the control group ), prolongation of the transport function time ( 36.3±0.86 minutes) (p < 0.001 in relation to the control group), increase in pH ( 7.4 ±0.01) (p <0.001 relative to the control group), prolongation of absorption time (89.9±6.6 minutes) (p<0.01 relative to the control group), as well as increased excretory function (58.4±0.8 mg ) ( p<0.001 relative to the control group ). Patients in both groups showed impaired nasal function , which can hamper the effect of topical medications on the nasal mucosa, which in turn reduces the effectiveness of treatment. This circumstance must be taken into account when treating these patients.
Microbiological research was carried out in the bacteriological laboratory of the III clinic of the Tashkent Medical Academy, a sample was taken from the nasal cavity of 150 patients. At the same time, determination of the sensitivity of the identified microflora to various antibiotics showed that in almost all cases the monoculture and microbial associations were highly sensitive to cephalosporins, sulfonamides and macrolides. However, it should be noted that in patients with “ neutrophilic ” polypous rhinosinusitis, the nasal microflora was revealed as a monoculture, which was highly sensitive to macrolide antibiotics.
Keywords
Microbial associations, polyp, mucous membrane
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