鼻内镜术后两种鼻腔填塞物的疗效对比  

A comparison of two nasal packing materials used in post-operative functional endoscopic sinus surgery

作　　者：和守睆 沈志豪 金晓杰 

机构地区：[1]上海市嘉定区中心医院耳鼻咽喉科,上海201800 [2]上海市仁济医院耳鼻咽喉头颈外科,上海200127

出　　处：《山东大学耳鼻喉眼学报》2011年第6期67-69,73,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的比较鼻内镜术后数字纱布和藻酸钙鼻腔填塞的疗效。方法将60例慢性鼻窦炎/鼻息肉患者随机分组,鼻内镜术后分别行数字纱布或藻酸钙填塞,并行鼻内镜手术前后自查量表调查。该自查量表包括术前鼻腔通气评分,手术当天及术后第1天(拔除填塞物当天)鼻腔通气评分、鼻腔胀痛评分、头痛评分、牙齿酸痛评分、鼻腔出血停止时间、出血量情况及发热情况等。通过该量表的调查,分析比较数字纱布和藻酸钙的疗效。结果两组患者术前鼻腔通气评分差异无统计学意义。两组患者手术当天鼻腔通气评分有统计学差异,而鼻腔胀痛评分、头痛评分、牙齿酸痛评分、鼻腔出血停止时间均差异无统计学意义;两组患者鼻腔出血均为阴性、无发热。两组患者术后第1天鼻腔通气评分、鼻腔胀痛评分、头痛评分、牙齿酸痛评分、鼻腔出血停止时间均差异无统计学意义,两组患者鼻腔出血均为阴性、无发热。结论数字纱布作为一种新型的鼻腔填塞物用于慢性鼻窦炎/鼻息肉患者鼻内镜术后,相比藻酸钙而言,具有鼻腔通气佳等优点,值得在临床推广使用。Objective To compare the effect of digital gauze and calcium alginate used as nasal packing materials in post-operative functional endoscopic sinus surgery （FESS）. Methods 60 patients with chronic sinusitis/nasal polyps were randomly divided into two groups, those who had digital gauze or calcium alginate as nasal packing material post- operative FESS, and self-examination questionnaire surveys were applied to all the patients before and after surgery. The questionnaire included pre-operative nasal ventilation score, nasal ventilation score, nasal pain score, headache score, dental pain score, nasal bleeding stopped time, blood loss and body temperature on the day of surgery and one day after the surgery （the day of stuffing removal）. By the survey, the effect of digital gauze and calcium alginate was analyzed and compared. Results There was no significant difference in pre-operative nasal ventilation score between the two groups. On the day of surgery, the nasal ventilation score was significantly different between the two groups; however, nasal pain score, headache score, tooth pain score, nasal bleeding stopped time were not statistically different between the two groups ; and nasal bleeding and fever were not found in either of the two groups. One day after the sur- gery, nasal ventilation score, nasal pain score, headache score, dental pain score, nasal bleeding stopped time had no statistical difference between the two groups; and nasal bleeding and fever were also not found in either of the two groups. Conclusion As a new nasal packing material used in chronic sinusitis/nasal polyps patients who accepted FESS, digital gauze has the advantage of better nasal ventilation score compared to calcium alginate, and it should be widely used in clinical practice.

关 键 词：鼻内镜外科手术 填塞 数字纱布 藻酸钙 

分 类 号：R765.9[医药卫生—耳鼻咽喉科] R618[医药卫生—临床医学]