功能性鼻内窥镜手术中填塞材料的应用护理观察及效果比较  

The application of functional nasal endoscopic surgery in the stuffing material compared to observe the effect and nursing

作　　者：刘二瑛 

机构地区：[1]广东河源和平县人民医院,广东河源517200

出　　处：《中国伤残医学》2014年第11期41-42,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：比较不同填塞物在功能性鼻内窥镜手术后的临床效果。方法：将120例患者按照入院先后顺序随机分为凡士林组、膨胀止血海棉组和美宝＋凡士林组，各组使用相应的填塞物。记录3组术后疼痛程度和出血情况，评价不同填塞物的临床运用效果。结果：美宝＋凡士林组的VAS评分为3．5±1．2分，低于凡士林组合膨胀止血海绵组（p〈0．05）。美宝＋凡士林组轻度疼痛32例，中度疼痛5例，重度疼痛0例，与凡士林组、膨胀止血海绵组疼痛状况有统计学差异（Х^2＝27．375，p〈0．001）。美宝＋凡士林组轻度渗血、中度渗血和重度渗血分别有8、31和1例，渗血状况与其他各组相比有统计学差异（ Х^2＝32．628，p〈0．001）。结论：相比于膨胀止血海绵和凡士林填塞，美宝＋凡士林填塞可以有效的降低术后疼痛状况，减少渗血，是在现有技术水平下值得推广使用的一种填塞材料。Objective：To compare the different stuffing in functional clinical effect of nasal endoscopic surgery .Methods：120 patients according to admission order were randomly divided into vaseline group , the expansion of hemostatic sponge group and treasure ＋vaseline group, each group with the corresponding stuffing .Record three groups degree of postoperative pain and bleeding , and evaluate the clinical use of the different filling effect .Results：The VAS score Mabel ＋vaseline group was 3.5 ＋/-1.2 points, less than vaseline combination expansion hemostatic sponge group （p 〈0.05）.Mabel ＋vaseline group of mild pain in 32 cases, 5 cases were moderate pain, severe pain 0 cases, and vaseline group, expansion hemostatic sponge was statistically difference in the pain （X2 =27.375, p 〈0. 001）.Mabel ＋vaseline group mild bleeding, moderate ooze blood and severe bleeding eight , 31, and 1 case respectively, compared with other groups was statistically difference in the ooze blood （X2 =32.628, p 〈0.001）.Conclusion：compared with the expansion of hemostatic sponge and vaseline tamponade , Mabel ＋petroleum jelly filling can effectively reduce postoperative pain , less bleeding , is under the existing technical level to promote the use of a kind of filling material .

关 键 词：功能性鼻内窥镜术 填塞材料 美宝 临床护理效果 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]