摘要
目的研究鼻内镜电凝法治疗鼻出血患者的临床效果。方法对自2017年1月—2020年5月在该院接受鼻内镜电凝法治疗的83例鼻出血患者进行分析研究,按照随机分配原则分为实验组(n=42)与对照组(n=41),实验组患者治疗方法为鼻内镜电凝法治疗,对照组患者治疗方法为无菌凡士林纱条填塞鼻腔止血,观察两组患者在手术过程中出血量等实际情况,对术后治疗效果、并发症进行对比并予以汇报。结果手术过程中,实验组出血量(37.22±4.23)mL、止血时间(41.08±4.92)min、黏膜恢复时间(5.19±1.97)d以及通气恢复时间(3.65±1.27)d均明显少于对照组,差异有统计学意义(t=3.123、2.333、2.897、2.674,P<0.05);实验组术后治疗疗效92.86%显著高于对照组73.17%,差异有统计学意义(χ2=6.892,P<0.05);手术后,实验组并发症共5例11.90%,对照组并发症共14例34.15%,两组数据差异有统计学意义(χ2=7.003,P<0.05)。结论较填塞鼻腔止血,鼻内镜电凝法在鼻出血的治疗中临床效果更好,术中出血量更少,出血时间更短,术后鼻腔功能得以快速恢复且术后并发症更少,理应得到临床上的大力推广。
Objective To study the clinical effect of endoscopic coagulation in the treatment of patients with epistaxis.Methods An analysis and study of 83 patients with epistaxis who received endoscopic electrocoagulation in the hospital from January 2017 to May 2020 were divided into experimental group(n=42)and control group(n=41)according to the principle of random allocation.The treatment method of the experimental group was nasal endoscopic electrocoagulation,and the treatment method of the control group was the use of sterile petrolatum gauze to fill the nasal cavity to stop bleeding.Observe the actual conditions such as the amount of bleeding during the operation of the two groups.The postoperative treatment effects and complications were compared and reported.Results During the operation,the bleeding volume(37.22±4.23)mL,hemostasis time(41.08±4.92)min,mucosal recovery time(5.19±1.97)d and ventilation recovery time(3.65±1.27)d in the experimental group were significantly less than those in the control group,the difference was statistically significant(t=3.123,2.333,2.897,2.674,P<0.05);The postoperative therapeutic effect of the experimental group 92.86%was significantly higher than that of the control group 73.17%,the difference was statistically significant(χ2=6.892,P<0.05);After surgery,the experimental group had a total of complications of 5 cases 11.90%and 14 cases 34.15%of complications in the control group.There was a statistically significant difference in data between the two groups(χ2=7.003,P<0.05).Conclusion Compared with filling the nasal cavity to stop bleeding,endoscopic coagulation has a better clinical effect in the treatment of epistaxis,with less intraoperative blood loss and shorter bleeding time,rapid recovery of postoperative nasal function and fewer postoperative complications,it should be promoted clinically.
作者
王永忠
WANG Yong-zhong(Department of Otorhinolaryngology,Dafeng Hospital of Traditional Chinese Medicine,Yancheng City,Dafeng,Jiangsu Province,224100 China)
出处
《世界复合医学》
2020年第11期100-102,共3页
World Journal of Complex Medicine
关键词
鼻内镜电凝法
鼻出血
临床效果
Nasal endoscopic electrocoagulation
Epistaxis
Clinical effect
