摘要
目的探讨鼻内镜下电凝结合鼻腔填塞治疗难治性鼻出血的临床疗效。方法方便选取2015年4月—2017年4月该院收治的101例难治性鼻出血患者为研究对象,随机分为实验组(鼻内镜下电凝+鼻腔填塞,51例)和对照组(单纯鼻腔填塞,50例)。对比观察两组鼻出血量等基本治疗指标,统计两组一次治愈率、并发症及复发率。结果实验组鼻出血量(37.4±10.1)m L,鼻粘膜恢复时间(5.4±1.6)d,一次性治愈率98.0%,并发症发生率3.9%,复发率2.0%,各项指标均优于对照组,比较差异有统计学意义(P<0.05)。结论鼻内镜下电凝结合鼻腔填塞治疗难治性鼻出血效果显著,可提高一次性治愈率,减少复发,而且并发症少、恢复快,应用安全有效,值得推广使用。
Objective This paper tries to investigate the clinical efficacy of endoscopic electrocoagulation combined with nasal packing in the treatment of intractable epistaxis. Methods 101 cases of refractory epistaxis in this hospital from April2015 to April 2017 were randomly divided into the experimental group（receiving nasal endoscopic electrocoagulation and nasal tamponade treatment, with 51 cases） and the control group（receiving simple nasal tamponade, with 50 cases）. The nasal bleeding and other basic treatment indicators of the two groups were compared, curative efficacy for the first time,complications and recurrence rate were concluded. Results The average nasal bleeding volume of the experimental group was（37.4±10.1） m L, nasal mucosa recovery time was（5.4±1.6） days, curative rate of first treating was 98.0%, the incidence of complications was 3.9%, recurrence rate was 2.0%, all of the indicators were better than those of the control group,the differences were statistically significant（P0.05）. Conclusion Endoscopic electrocoagulation combined with nasal cavity packing is effective in the treatment of intractable epistaxis, which can improve one-time curative rate, reduce recurrence,and decrease complications, increase recovery efficiency, and it is worth popularization.
出处
《中外医疗》
2017年第22期64-65,71,共3页
China & Foreign Medical Treatment
关键词
难治性鼻出血
鼻内镜
电凝
鼻腔填塞
Refractory nasal bleeding
Nasal endoscope
Electrocoagulation
Nasal packing
