抗生素围手术期冲击治疗慢性鼻-鼻窦炎对FESS术出血的影响  

作　　者：官树雄[1] 

机构地区：[1]广东医学院附属厚街医院耳鼻咽喉科,广东东莞523945

出　　处：《中外医疗》2010年第31期12-13,共2页China & Foreign Medical Treatment

摘　　要：目的探讨减少慢性鼻窦炎、鼻息肉内镜鼻窦手术中出血的方法。方法通过对慢性鼻窦炎、鼻息肉患者进行围手术期术前抗生素冲击治疗时间的不同,比较术中出血量的多少(A组30例患者抗生素冲击治疗7d,B组28例患者抗生素冲击治疗3d,其余治疗时间相同)。结果术前处理A组出血量为(41.0±12.1)mL,B组出血量(76.8±21.6)mL,两者经统计学处理差异有统计学意义(F=4.663,P=0.035)。结论术前用药物控制慢性鼻窦炎、鼻息肉的炎症是减少内镜鼻窦手术出血的重要环节,在同样规范手术操作下,应用激素及减充血剂在同样时间下,术前应用抗生素冲击治疗中,抗生素冲击治疗直接影响手术中出血量的多少,冲击治疗3d的出血量与冲击治疗7d的出血量差异有统计学意义。Objective To explore the method of reducing endoscopic sinus surgert for chronic sinusitis and nasal polyp.Methods Bleeding during surgery of two groups patients with chronic sinusitis and nasal ployp were compared（30 cases in group A with 7-days Pulse antibiotics in preoperative treatment,28 cases in group B with 3-days Pulse antibiotics in preoperative treatment）.Results The volume of bleeding during surgery between group A that is（41.0± 12.1）mL and group B that is（76.8± 21.6）mL is significant difference（F=4.663,P=0.035）.Conclusion Controlling the inflammatory reaction of chronic sinusitis and nasal polyp by preoperative treatment is the most important factor to reduce bleeding while undergoing endoscopic sinus surgery.However,at the same other conditions,Two groups is significant difference.

关 键 词：鼻窦炎 鼻息肉 抗生素 内窥镜检查 出血 

分 类 号：R765[医药卫生—耳鼻咽喉科]