What are the most effective methods for treating sinusitis?

Sinusitis is a common and frequently occurring disease among young and middle-aged people. Moreover, this disease is not uncommon among teenagers. According to investigations, there are many causes of sinusitis, such as repeated colds or colds that do not heal for a long time, serious pollution in the working and living environment, and frequent stays in dusty environments, etc., which can easily lead to sinusitis. What are the most effective methods for treating sinusitis for patients?

The most effective treatment for sinusitis is:

(1) Local nasal medication:

1% ephedrine saline nasal drops are an inexpensive and widely used nasal drop that can reduce swelling of the sinus mucosa, keep the openings clear, and make it easier for pus in the sinuses to flow out. Generally use 3-4 times a day, 1-3 drops in each nostril each time. Pay attention to body position when using nasal drops. Generally, the patient is in the supine position with the head hanging down, and the nostrils facing upwards. After dripping the medicine, you should stay for 5-8 minutes before getting up, and gently blow out the medicine and snot, or inhale them into your mouth and then spit them out. Do not pinch both nostrils tightly and blow hard, as this will press the mucus into the middle ear through the pharyngeal tube, causing otitis media. Doctors often add antibiotics or hormones to ephedrine nasal drops to enhance their anti-infection and anti-allergic effects.

(2) Oral medication:

Oral antibiotics should be based on bacterial culture and drug sensitivity tests, and the duration of medication is generally 4-6 weeks. Commonly used drugs include amoxicillin, azithromycin, cefuroxime, cefuroxime, and telil. If accompanied by allergies, you can also take some anti-allergic drugs, such as: Claritin, Cetuximab, Promethazine, etc. Some Chinese patent medicines are also effective in treating chronic sinusitis, such as Biyuanshu and Sinusitis Oral Liquid, and can be used in conjunction with antibiotics.

(3) Positive and negative pressure replacement method:

It is suitable for chronic whole-group sinusitis and is a simple and effective method. During treatment, the nurse asks the patient to lie flat on the treatment bed, with a small pillow under the shoulders and the head tilted back. First, drip 1% ephedrine saline into the nasal cavity to fully contract the nasal cavity and open the sinus opening. Then insert an olive-headed suction tube into one nostril, pinch the opposite nostril, start the suction device, and ask the patient to intermittently make a "open, open, open..." sound. The pus in the nasal cavity and sinuses will be sucked out, and the sinuses will become under negative pressure. Then drop the antibiotic into the nasal cavity and the liquid will enter the sinuses. Repeating this process several times will drain the pus in the sinuses and replace it with medicine, thus achieving the purpose of treatment. Generally once a day, one course of treatment is 10 days.

(4) Maxillary sinus puncture and irrigation:

Use a special puncture needle to pierce the maxillary sinus from the inferior nasal meatus, draw out the pus, rinse with saline until the pus is completely drained, and then inject antibiotic solution. This method is only suitable for the maxillary sinus.