CLINICAL AND FUNCTIONAL PECULIARITIES OF BRONCHIAL ASTHMA CLINCIAL COURSE COMBINED WITH POLYPOUS RHYNOSINUSITIS AT DIFFERENT VARIANTS OF TREATMENT
111 patients with bronchial asthma (BA) including 25 patients without upper airways pathology and 86 patients with concomitant chronic polypous rhynosinusitis (CPRS) were examined. All patients went through the study of ventilation pulmonary function, the measurement of nasal resistance, bronchial challenge with cold air, registration of the expired air temperature. Against the base therapy in 40 BA patients with concomitant CPRS the polyps were ablated, 46 patients had a combined treatment of CPRS with application of intranasal inhalations of corticosteroids and laser therapy. It is established that the application of intranasal inhalations of beclometasone and laser irradiation combined with standard base therapy allows to improve BA clinical course, restore the patency and conditioning capacity of the nose and decrease the level of cold airway hyperresponsiveness. The mentioned therapy leads to regress of polypous tissue in nose and paranasal sinuses and significantly decreases the probability of CPRS relapses.