摘要
目的 探讨耳内镜下电凝止血联合鼻腔微填塞治疗难治性鼻出血的临床效果.方法 选取120例难治性鼻出血患者作为研究对象,采取单盲随机分组法分为两组,每组60例,对照组采用凡士林纱条填塞鼻腔止血,观察组实施耳内镜电凝联合鼻腔微填塞止血治疗.比较两组患者的治愈率、并发症发生率、鼻腔恢复通气时间、鼻腔黏膜恢复时间、总出血量、疼痛评分以及复发率.结果 观察组治愈率为96.67％,明显高于对照组的81.67％（χ^2=6.988,P〈0.05）,其并发症发生率、疼痛评分分别为8.33％、（3.65±1.09）分,明显低于对照组的21.67％、（5.23±1.72）分（χ^2=4.183,t=6.010,均P〈0.05）,总出血量明显减少（t=6.344,P〈0.05）,鼻腔恢复通气时间、鼻腔黏膜恢复时间均明显缩短（t=7.119、6.183,均P〈0.05）,且随访6个月发现,观察组复发率为1.67％,明显低于对照组的11.67％（χ^2=4.821,P〈0.05）.结论 采用耳内镜电凝联合鼻腔微填塞治疗难治性鼻出血的效果显著,可减少并发症及复发,效果良好.
Objective To explore the clinical effect of the endoscopic electrocoagulation combined with nasal micro packing in the treatment of refractory epistaxis .Methods 120 patients with refractory epistaxis were selected as the research subjects ,and they were divided into two groups by the single blind randomly methods ,60 cases in each group.The control group was given vaseline gauze for hemostasis of nasal cavity ,and the observation group received endoscopic electrocoagulation combined with nasal packing hemostasis micro treatment .The cure rate ,the incidence of complications ,recovery of nasal mucosa of nasal ventilation time , recovery time , the total amount of bleeding , pain score and recurrence rate of the two groups were compared .Results The cure rate in the observation group was 96.67%,which was significantly higher than 81.67% in the control group（χ^2 =6.988,P〈0.05）.The incidence rate of complications and pain score in the observation group were 8.33%,（3.65 ±1.09）points,respectively,which were significantly lower than 21.67%,（5.23 ±1.72） points in the control group （χ^2 =4.183,t =6.010,all P〈0.05）.The total amount of bleeding significantly reduced （t=6.344,P〈0.05）,the recovery of nasal ventilation time and recovery time of nasal mucosa significantly decreased （t=7.119,6.183,all P〈0.05）.The patients were followed up for 6 months,the recurrence rate in the observation group was 1.67%,which was significantly lower than 11.67%in the control group（χ^2 =4.821,P〈0.05）.Conclusion The endoscopic electric coagulation combined with nasal micro packing in the treatment of refractory epistaxis has significant effect ,it can effectively promote the recovery of patients,reduce complications and recurrence ,the prognosis is good .
出处
《中国基层医药》
CAS
2018年第3期329-332,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
鼻出血
栓塞
治疗性
电凝术
止血
内窥镜
Epistaxis
Embolization,therapeutic
Electrocoagulation
Hemostasis,endoscopic
