摘要
目的:探讨矛头蝮蛇血凝酶不同用法在鼻息肉功能性鼻内镜手术止血疗效。方法:选取经功能性鼻内镜手术治疗的120例鼻息肉患者,按就诊顺序分为全身组(A组)、局部组(B组)、联合组(C组)和对照组(D族)。全身组予术前静滴矛头蝮蛇血凝酶,局部组术中用血凝酶溶液脑棉片压迫术腔,联合组联合其上两组治疗方法。统计对比4组术中出血量、术中视野质量、术后鼻腔填塞物数量及术后出血量等指标。结果:与D组相比,A组、B组、C组病人术中出血量、术中视野、术后鼻腔填塞物数量、术后渗血量差异均有统计学意义(均P<0.05)。血凝酶三组进行组间比较,差异有统计学意义(P<0.05)。结论:矛头蝮蛇血凝酶分别于术前静脉注射、术中局部用药,应用于鼻息肉功能性鼻内镜手术止血疗效显著,可显著减少术中出血,为术中提供清晰的手术野,并减少术后鼻腔填塞物数量及术后出血。
Objective： To investigate the effect of different usage of Agkistrodon Agkistrodon hemagglutinin on the hemostatic effect of nasal polyp functional endoscopic surgery. Methods： 120 patients with nasal polyps treated by functional endoscopic sinus surgery were selected and divided into systemic group （ group A ）, local group （ group B ）, combined group （ group C ） and control group （ D group ） according to visiting order. The whole body group was given the hemagglutination enzyme of Agkistrodon Agkistrodon Agkistrodon Agkistrodon Agkistrodon. In the local group, the hemagglutinin solution was used to oppress the cavities of the brain cotton. The combined group combined with the two groups. Statistics and comparison of the 4 groups of intraoperative hleeding, intraoperative visual quality, postop- erative nasal packing volume and postoperative bleeding wAume and other indicators. Results： compared with group D, there were significant differences in bleeding volume, intraoperative field of vision, number of nasal packing and postoperative blood loss between group A, group B and group C （ all P〈0.05 ）. The three groups of hemagglutinin were compared between groups, the difference was statistically significant （ P〈0.05 ）. Conclusion ： the spearhead of hae- mocoagulase were given intravenously before surgery, intraoperative topical medication, used in nasal polyps effect of functional endoscopic surgery significantly, can significantly reduce the bleeding during operation, provide a clear surgical field during the operation, and reduce the number and postoperative nasal packing after hemorrhage.
出处
《中医药临床杂志》
2017年第12期2113-2115,共3页
Clinical Journal of Traditional Chinese Medicine
关键词
矛头蝮蛇血凝酶
鼻息肉
功能性鼻内镜手术
止血疗效
Agkistrodon Agkistrodon hemagglutination enzyme
nasal polyps
functional endoscopic surgery
he-mostatic efficacy
