不同时间抽除鼻腔凡士林纱条临床比较  

Clinical Comparison of Nasal Vaseline Ribbon Gauze Removal in Different Time.

作　　者：胡艾君[1] 袁辉[1] 邬晓帆[1] 朱政文[1] 刘志勇[1] 辛洁[1] 

机构地区：[1]苏州大学附属第二医院耳鼻咽喉科,215004

出　　处：《医学研究通讯》2005年第11期51-52,共2页Bulletin of Medical Research

摘　　要：目的通过对三种不同时间抽除鼻腔凡士林纱条后鼻出血及粘膜损伤情况的前瞻性比较,指导临床选择早日抽除凡士林纱条的必要性。方法将194例用凡士林纱条填塞治疗鼻出血的病人按抽除时间随机分为三组:12h组;24h组;48h组;对各组在去除纱条后4h,4～24h,24～48h时段中再出血量、出血人数及鼻粘膜损害情况进行比较。结果三组病人在各时段再出血量及出血人数方面无统计学差异(P>0.05);而在鼻粘膜损伤方面:48h组较12小时组有明显差异(P<0.05)。去除填塞物后再出血多发生在1h内,24h后再出血发生率低。结论对于填塞12h内无明显出血病人给予早日抽除填塞物是可行的、必要的,它可以最大限度减小由填塞物带来的痛苦和对鼻粘膜的损害,迅速恢复鼻腔生理功能。Objective To compare prospectively nasal rebleed and damage to nasal mueosa following pack removal in different time, and conduct to choose early pack removal in clinical practice proctie. Methods All 194 patients were divided randomly into three groups according to pack removal time： in 12 hours, 24 hours, 48 hours, we study their epistaxis recurrences and injury to nasal mucosa in different terms： during the first 4h; within 4～24h, 24～48h. Results There was no remarkable difference in the amount of rebleeding and damage to nasal mucosa in the three groups （P 〉 0.05）, 95 % of those recurrences take place within the first 4h, fewer patients rebled after 24h. Conclusion The implementation of an early nasal pack removal is feasible, can relieve mostly the packing pain and wound in nasal mucosa and control bleed effectively.

关 键 词：鼻腔填塞 鼻出血 鼻腔手术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科] R187.5[医药卫生—临床医学]