不同止血材料在鼻窦炎术后鼻腔填塞疗效对比观察

目的:观察功能性鼻内镜术后不同填塞材料的止血效果及鼻腔的留置时间.方法:对120例鼻内镜手术后患者分别使用藻酸钙敷料(A组)43例、藻酸钙敷料+高分子止血棉(B组)30例、凡士林纱条(C组)47例进行鼻腔填塞,术后24 h内抽取填塞物,评价鼻腔填塞期疼痛程度、抽取填塞物时鼻出血程度等.结果:填塞后24 h内出现重度疼痛不适A组为2.33%,B组为6.67%,C组为40.42%,差异有统计学意义(P<0.01);拔除填塞物后再次出血分别为6.98%、10.00%、25.53%,差异有统计学意义(P<0.01);术后2周复查鼻腔黏膜重度肿胀程度分别为9.30%、10.00%、21.28%,差异有统计学意义(P<0.01).结论:联合应用藻酸钙敷料及高分子止血棉使患者术后出血降到了最低,且术后患者鼻腔黏膜水肿程度明显减轻,缩短了术后恢复时间.

Clinical observation on combination of different hemostatic materials in nasal sinus packing after functional endoscopic dinus durgery

Objective:To explore the application and clinical effect of the nasal packing materials in functional endoscopic sinus surgery.Methods:Totally 120 patients were observed,in which,sorbalgon group was 43 cases,sorbalgon add merocel group 30 cases and vaseline gauze group 47 cases.The packing materials were removed after 24 hours.The efficacy of nasal packing materials was assessed in terms of the levels of nasal pain or headache in the leaving period and nasal bleeding after remaval of nasal packing,and the levels of the mucosa swelling 2 weeks later.Results:The incidence rate of nasal severe pain or headache in sorbalgon group,sorbalgon add merocel group and vaseline gauze group was 2.33%,6.67% and 40.42%,respectively.The incidence rate of severe nasal bleeding after removed was 6.98%,10.00% and 25.53%,respectively.The incidence rate of the levels of the mucosa swelling 2 weeks later was 9.30%,10.00% and 21.28%,respectively.The significant statistical difference was observed between the 3 groups(P<0.01).Conclusions:The combination of both sorbalgon and merocel can controll bleeding to the lowest,and reduce the edema degree of nasal mucous membrane,and the recovery time.