摘要
目的分析对比介入栓塞与鼻内镜电凝止血治疗鼻出血的临床疗效,总结其临床治疗经验及临床价值。方法选取我院2009年10月至2011年10月76例鼻出血的患者,随机分为观察组与对照组,各为38例,观察组采取鼻内镜电凝止血治疗,对照组采取介入栓塞手术治疗,观察对比两组治疗效果、复发情况及平均住院时间、术后疼痛评分。结果观察组显效19例,有效17例,无效2例,无复发案例,总有效率为94.7%;对照组显效15例,有效14例,无效9例,复发5例,总有效率为76.3%,两组治疗效果及复发情况比较存在明显的差异(P【0.05),具有统计学意义;观察组的平均住院时间明显比对照组短,观察组术后疼痛评分明显比对照组要小,两组比较存在明显的差异(P【0.05),具有统计学意义。结论鼻内镜电凝止血治疗鼻出血的临床疗效显著,明显对比传统介入栓塞治疗占有优势,能够迅速、有效、准确止血,减少复发,创伤小,患者痛苦小,恢复快,从而明显缩短住院时间,安全可靠,值得临床上合理推广使用。
Objective To analysis and comparison of interventional embolization with nasal endoscopic electric coagulation treatment of nasal hemorrhage,summarize the experience of clinical treatment and its clinical value.Methods From October October to 2011 2009 in our hospital 76 cases of nasal bleeding patients,were randomly divided into the observation group and the control group,38 cases in each group,observation of nasal endoscopic electric coagulation by hemostatic treatment,while the control group adopted the treatment interventional operation,observe and compare the results of two treatment groups,relapse condition and the average hospitalization time,postoperative pain score.Results The observation group 19 cases,effective in 17 cases,ineffective in 2 cases,and no recurrence cases,the total effective rate was 94.7% ;the control group 15 cases,effective in 14 cases,9 cases ineffective,recurrence occurred in 5 cases,the total effective rate was 76.3%,two groups of treatment effect and recurrence is relatively obvious differences(P < 0.05),with statistical significance;observation group the average hospitalization time was shorter than that of the control group,the observation group the postoperative pain score significantly than the control group to be small,significant differences exist between two groups(P < 0.05),with statistical significance.Conclusion Nasal endoscopic electric coagulation hemostasis treatment nosebleed clinical curative effect,the apparent contrast of traditional interventional embolization for the treatment of possession advantage,can quickly,exactly and effectively,reduce recurrence,hemostatic,little trauma,less pain,rapid recovery,thereby significantly shorten the hospitalization time,safe and reliable,is worth the clinical rational use.
出处
《中国保健营养（下半月）》
2012年第10期4237-4238,共2页
China Health Care & Nutrition
关键词
介入栓塞
鼻内镜电凝止血
鼻出血
复发
Interventional embolism
Nasal endoscopic electric coagulation hemostasis nasal hemorrhage
Recurrence
