摘要
目的分析鼻内镜手术后填塞膨胀海绵与可吸收材料治疗慢性鼻窦炎鼻息肉的临床效果。方法便利选择2020年6月—2023年2月宜兴市中医医院的94例慢性鼻窦炎鼻息肉患者进行研究,根据随机数表法分为观察组(47例)和对照组(47例),两组患者均采用鼻内镜手术治疗,对照组患者术后填塞膨胀海绵进行止血,观察组则在术后填塞可吸收材料,比较两组治疗效果、术后并发症、鼻内镜评分以及术后48 h出血量及疼痛感。结果观察组与对照组患者的治疗有效率均较高,差异无统计学意义(P>0.05)。与对照组比较,观察组并发症发生率较低,差异有统计学意义(P<0.05)。治疗后观察组鼻内镜评分(8.05±0.96)分低于对照组(11.44±1.22)分,差异有统计学意义(t=6.006,P<0.05)。观察组疼痛评分低于对照组,出血量也低于对照组,差异有统计学意义(P均<0.05)。结论内窥镜下治疗慢性鼻窦炎鼻息肉术后采用可吸收材料的止血效果较高,可降低术后并发症发生率,改善患者的临床症状,降低患者疼痛感,因此具有非常重要的临床价值。
Objective To analyze the clinical effect of filling with expandable sponge and absorbable material in the treatment of chronic rhinosinusitis and nasal polyps after nasal endoscopic surgery.Methods A total of 94 patients with chronic sinusitis and nasal polyps in Yixing Hospital of Traditional Chinese Medicine from June 2020 to February 2023 were conveniently selected for this study,and were divided into observation group(47 cases)and control group(47 cases)according to random number table method.Patients in both groups were treated with nasal endoscopic surgery;the control group was treated with postoperative tamponade with expansive sponge for hemostatic;the observation group was treated with postoperative tamponade with absorbable materials.The therapeutic effect,postoperative complications,nasal endoscopic score,and postoperative blood loss and pain at 48 h were compared between the two groups.Results The effective rate of the observation group and the control group were higher,and the difference was not statistically significant(P>0.05).Compared with the control group,the complication rate of the observation group was lower,and the difference was statistically significant(P<0.05).After treatment,the score of nasal endoscopy in observation group(8.05±0.96)points was lower than that in control group(11.44±1.22)points,and the difference was statistically significant(t=6.006,P<0.05).The pain score and blood loss of the observation group were lower than those of the control group,and the differences were statistically significant(both P<0.05).Conclusion The use of absorbable materials in the treatment of chronic rhinosinusitis and nasal polyps under endoscope has a high hemostatic effect,which can reduce the incidence of postoperative complications,improve the clinical symptoms of patients,and reduce the pain of patients,so it has very important clinical value.
作者
俞纯珏
吴静
王健
YU Chunjue;WU Jing;WANG Jian(Department of Otolaryngology,Yixing Hospital of Traditional Chinese Medicine,Yixing,Jiangsu Province,214200 China)
出处
《世界复合医学》
2023年第12期69-72,共4页
World Journal of Complex Medicine
关键词
内窥镜
慢性鼻窦炎
鼻息肉
膨胀海绵
可吸收材料
Endoscope
Chronic rhinosinusitis
Nasal polyps
Expansive sponge
Absorbable material
