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负压鼻腔冲洗法在鼻-鼻窦炎患者内镜术后的应用 被引量:14

Application of negative-pressure nasal saline irrigation in patients with rhinosinusitis after endoscopic sinus surgery
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摘要 目的探讨负压鼻腔冲洗法在鼻内镜术后应用的效果。方法将101例慢性鼻-鼻窦炎行内镜鼻窦手术患者按时间段分为常规组48例、负压组53例。常规组术后采用常规鼻腔冲洗法,负压组采用负压鼻腔冲洗法。分别于术后2周、4周及3个月评价效果。结果负压组术后2周、4周VAS评分显著低于常规组(P<0.05,P<0.01);术后3个月操作方便性、冲洗舒适度评分显著高于常规组(P<0.05,P<0.01);术后3个月VAS评分及鼻内镜Lund-Kennedy评分比较,差异无统计学意义(均P>0.05)。结论负压鼻腔冲洗法用于慢性鼻-鼻窦炎内镜术后患者舒适度高,有利于患者坚持冲洗,从而有利于长期效果的改善。 Objective To investigate the effect of negative-pressure nasal saline irrigation after endoscopic sinus surgery. Methods To- tally, 101 patients with chronic rhinosinusitis after endoscopic sinus surgery were allocated into two groups chronologically, receiv- ing either routine or negative-pressure nasal saline irrigation. Effects were evaluated at 2, 4 weeks and 3 months after surgery. Re- sults Compared to the routine group, the Visual Analogue Scale (VAS) scores at 2 and 4 weeks were significantly lower, whereas ease of operating and comfort during irrigation at 3 months were significantly higher in the negative pressure group (P〈0. 05 ,P〈 0.01). There were no statistical differences in VAS score and Lund-Kennedy score at 3 months between the two groups (P〉0.05 for both). Conclusion Negative pressure nasal saline irrigation used in patients with rhinosinusitis after endoscopic sinus surgery can improve patients' subjective feeling of comfort during irrigation, and therefore it enhances patient compliance and promotes long term effect.
出处 《护理学杂志》 CSCD 2017年第12期25-27,共3页 Journal of Nursing Science
关键词 慢性鼻-鼻窦炎 鼻内镜手术 鼻腔冲洗 负压 鼻腔冲洗器 术后护理 chronic rhinosinusitis endoscopic nasal surgery nasal irrigation negative pressure nasal irrigator postoperative nursing
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