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选择１５７例Ⅰ型１期～３型慢性鼻窦炎、鼻息肉患者。观察其中１４０例不同病变范围的患者局麻下实施鼻内窥镜手术的麻醉效果，并将其中２８例Ⅱ型２期患者与另外１７例全麻施术的Ⅱ型２期患者就其术中出血情况进行对照。结果表明：①局麻仅对Ⅰ型及Ⅱ型１期患者能达到满意的麻醉效果，而其它类型则均存在不同程度疼痛；病变范围越广泛，病情越复杂，局麻效果越差。②相同病变条件下的鼻内窥镜手术，局麻和全麻术中出血量分别为１５５．３６±８６．５２ｍｌ和 １７１．７６±６８．４０ｍｌ，无显著差异（Ｐ＞０．０５）。因此，局麻仅适用于轻～中度慢性鼻窦炎、鼻息肉的鼻内窥镜手术，而其它情况，则以全麻为好。
157 cases of type Ⅰ 1 to type 3 chronic sinusitis and nasal polyps were selected. To observe the anesthesia effect of nasal endoscopic surgery in 140 patients with different pathological changes, and 28 cases of type Ⅱ 2 patients and 17 cases of type Ⅱ 2 patients who underwent general anesthesia were treated intraoperatively Bleeding control. The results showed that: (1) Local anesthesia could achieve satisfactory anesthetic effect only in type Ⅰ and type Ⅱ patients, while other types all had different degrees of pain; the more extensive the disease, the more complex the patients, the worse the local anesthetic effect. (2) The bleeding volume of nasal endoscopic surgery, local anesthesia and general anesthesia under the same conditions were 155.36 ± 86.52ml and 171.76 ± 68.40ml, respectively, with no significant difference (P> 0.05). Therefore, local anesthesia is only suitable for mild to moderate chronic sinusitis, nasal polyps endoscopic sinus surgery, while other cases, the general anesthesia is better.