鼻内窥镜术后换药研究  

Study on dressing change method and effect after endoscopic sinus operation

作　　者：陈有勇[1] 段慧君[1] 刘丽颖[1] 赵旭[1] 杜锦红[1] 吴斌[1] 

机构地区：[1]首都医科大学平谷教学医院耳鼻咽喉科,北京101200

出　　处：《中国伤残医学》2014年第4期25-27,共3页Chinese Journal of Trauma and Disability Medicine

基　　金：北京市平谷区优秀人才培养资助(2011D-01)

摘　　要：目的：探讨鼻窦内窥镜手术后换药方法及效果。方法：总结2011年3月～2012年9月收治的各种鼻窦疾病的内窥镜手术200例，比较对照组（常规术后换药组）与实验组（常规术后换药＋早期干预即明胶海绵浸地塞米松定期放置手术关键部位）的疗效及并发症。结果：实验组术后1个月、2个月的上皮化率明显高于对照组，且并发症少（ p＜0．001）。结论：鼻内窥镜术后早期干预，可以极大缩短患者的康复时间，同时减少医务人员的工作量，并减少并发症的发生。Objective：To study on dressing change method and effect after endoscopic sinus operation .Methods：Various paranasal si-nus diseases concludes 2011.3 -2012.9 were treated by endoscopic operation in 200 cases, Compared with control group （routine post-operative dressing group ） and experimental group （ routine postoperative early intervention of gelatin sponge dressing ＋dexamethasone regularly placed the key parts of the effect and complication of operation ） .Results：The epithelium of one month , two months of rate of ex-perimental group was significantly higher than that in the control group , and fewer complications （p〈0.001）.Conclusion：Endoscopic in-tranasal postoperative early intervention , could greatly shorten the recovery time of patients , and reduce the workload of medical staff , and to reduce the complications of .

关 键 词：鼻内窥镜手术 常规术后换药 早期干预 

分 类 号：R765[医药卫生—耳鼻咽喉科]