论文部分内容阅读
目的将单纯膨胀海绵与明胶海绵治疗鼻腔嗅裂区出血的疗效作比较,为临床治疗鼻腔嗅裂区出血提供更好的材料。方法选择我院2008年1月～2010年1月行鼻内镜手术后嗅裂区出血的患者50例,分为单纯膨胀海绵止血组(对照组)与明胶海绵为主的填充物止血组(观察组)各25例,比较两种材料对鼻出血患者的止血效果(包括24h内的鼻出血情况、24h后取出鼻内填充物的出血情况)、局部疼痛评分和填充阶段的症状。结果观察组24h内、24h后的止血效果均优于对照组,观察组的局部疼痛评分和填充阶段的症状也均优于对照组,两组以上指标比较差异均有统计学意义(P<0.05)。结论明胶海绵的止血效果要优于单纯膨胀海绵,且明胶海绵给患者带来的痛苦小。因此,患者在经鼻內镜手术后用明胶海绵填充鼻腔治疗鼻出血是较好的选择。
Objective To compare the curative effect of simple expansion sponge and gelatin sponge in the treatment of nasal olfactory fissure hemorrhage, and to provide better material for clinical treatment of nasal olfactory fissure hemorrhage. Methods Fifty patients with bleeding from the olfactory fissure area after endoscopic sinus surgery in our hospital from January 2008 to January 2010 were divided into two groups: control group, gelatin sponge-based hemostatic group (control group) (25 cases in observation group) were selected to compare the hemostatic effects (including intranasal hemorrhage within 24 hours, bleeding of nasal filler after 24 hours), local pain score and filling stage of the two materials in patients with epistaxis. Results The hemostatic effects of the observation group were better than those of the control group within 24 h and 24 h. The local pain score and the filling stage symptoms of the observation group were also better than those of the control group. There was significant difference between the two groups (P <0.05 ). Conclusion The effect of gelatin sponge is better than simple expansion sponge, and gelatin sponge is less painful for patients. Therefore, patients after nasal endoscopic surgery with gelatin sponge nasal filling nasal bleeding is a better choice.