Nasal Disease
Conditions
Keywords
rhinitis, sinusitis, nasal irrigation, TCM
Brief summary
This study investigate the nasal irrigation with Traditional herbal medicine extract-saline isotonic solution in the treatment of chronic rhinitis and sinusitis. Half of participants will receive Traditional herbal medicine extract-saline isotonic solution nasal irrigation, while the other half will receive saline alone nasal irrigation.
Detailed description
In the program, the investigators plan to investigate a clinical triad to research the outcomes of nasal irrigation with Traditional herbal medicine extract-saline isotonic solution for treatment of chronic rhinitis and sinusitis. The aims of this study are listed below: Aim 1: evaluating the outcomes and quality of life of nasal irrigation with Traditional herbal medicine extract-saline isotonic solution to treat enrolled patients with chronic rhinitis or sinusitis. The investigators use modern devices to evaluate the autonomic nerve, meridian energy and pulse. The questionnaires of quality of life and symptoms will be recorded. Nasal irrigation with saline alone will be conducted during the clinical triad to compare the effectiveness and quality of life with Traditional herbal medicine extract. Aim 2: analyzing the changes of bacteria culture in nasal discharge collected during the clinical triad before and after nasal irrigation for investigating the microenvironment of Traditional herbal medicine extract-saline isotonic solution. According to the research, the investigators will realize the improvement of using Traditional herbal medicine extract-saline isotonic solution for nasal irrigation to treat sino-nasal diseases, by investigating the changes of quality of life and microenvironment of nasal cavity. The nasopharyngoscopic examination, autonomic nerve, meridian energy and pulse were record to compare the effectiveness of Traditional herbal medicine extract-saline isotonic solution with nasal irrigation with saline alone.
Interventions
DEVICETaiwan Scientific noninvasive blood pressure meter TS-0411
measure autonomic nerve
DEVICEMeridian Energy Analysis Device(MEAD)
measure meridian energy
PROCEDUREbacteria culture
use culture swab to culture nasal discharge
PROCEDUREnasopharyngoscopic examination
use nasopharyngoscopy to determine the modified Lund-Kennedy endoscopic scoring system
COMBINATION_PRODUCTTCM nasal irrigation
Chinese herbal medicine (licorice) extract solution with buffered salt packet and water in rinse bottle
Sponsors
Chang Gung Memorial Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 85 Years
Healthy volunteers
Yes
Inclusion criteria
1. Diagnostic criteria for chronic rhinitis and sinusitis male and female volunteers. 2. Stop using oral and topical steroid and anti-histamine treatments \>2 weeks prior to enrollment. 3. \>20 years of age.
Exclusion criteria
1. Allergy to herbal medicine. 2. Presence of a sinus tumor. 3. Significant immune dysfunction. 4. Pregnancy and breast-feeding women. 5. Undergone nasal surgery \<1 week prior to enrollment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| WHOQOL-brief score (Taiwan version) | one month | consisting of 28 items, each scored from 1 to 5; total score recorded as the sum of all items change from baseline: the questionnaires of quality of life |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total symptom score(TSS） | one month | consisting of 4 items, each scored from 0 to 3; total score recorded as the sum of all items, 0 to 12 change from baseline: the questionnaires of chronic rhinitis severity |
| Autonomic nerve (HRV) | one month | Low frequency (ms2), High frequency (ms2), LF/HF(indicate autonomic function) change from baseline |
| 22-item Sino-Nasal Outcome Test score (SNOT-22) | one month | consisting of 22 items, each scored from 0 to 5; total score recorded as the sum of all items, 0 to 110 change from baseline: the questionnaires of chronic sinusitis severity |
| Posttreatment culture negativity | one month | negative means if no bacterial pathogen is identified on posttreatment culture but at least one has been present on pretreatment culture |
| Nasopharyngoscopic examination change | one month | consisting of 3 items, each scored from 0 to 2; total score recorded as the sum of both side all items, 0 to 12 change from baseline |
| Meridian energy | one month | Yang energy and Yin energy change from baseline |
Countries
Taiwan
Contacts
Primary ContactPei-Rung Yang
Outcome results
None listed