吸收性止血绒对低温等离子扁桃体消融术后创面止血及愈合的疗效观察  

Effect of absorbable & hemostatic fibrillar on hemostasis and healing of wound after low temperature plasma tonsil ablation

作　　者：顾宝林 罗永忠 董雪莲 俞其光 张峰 徐明[2] 

机构地区：[1]浙江宁波市第四医院耳鼻咽喉科,315700 [2]宁波大学医学院附属医院耳鼻咽喉科

出　　处：《中国临床保健杂志》2017年第6期749-751,共3页Chinese Journal of Clinical Healthcare

基　　金：浙江省医药卫生一般研究计划(2013KYA183)

摘　　要：目的 S-100-A吸收性止血绒对低温等离子扁桃体消融术后创面出血及愈合的疗效观察。方法将204例予低温等离子双侧扁桃体消融术的患者用随机数字表法平均分为两组,对侧手术创面按常规低温等离子扁桃体消融过程止血处理后不涂抹任何药物为设对照组。术后给予常规抗感染治疗3 d。研究组在常规处理后,术后扁桃体创面处均匀涂抹含S-100-A吸收性止血绒的凝胶。观察记录两组扁桃体创面渗血情况、白膜生长状况、白膜完全脱落时间及术后疼痛评分。结果两组扁桃体术后创面渗血差异有统计学意义;白膜完全脱落时间及术后疼痛12 h、24 h评分的差异有统计学意义(P<0.05)。结论低温等离子扁桃体消融术后应用S-100-A吸收性止血绒,降低扁桃体术后创面渗血,缩短白膜完全脱落时间,减轻术后疼痛;本研究结果具有临床应用价值和意义。Objective To observe the effect of S-100-A absorbable & hemostatic fibrillar on wound bleeding and healing after low temperature plasma tonsil ablation. Methods A total of 204 patients treated by low-temperature plasma tonsil ablation were divided into two groups by random number table. The tonsil wound was evenly with gel containing S-100-A absorbable & hemostatic fibrillar in the experimental group,while no gel in the control group. tonsil wound errhysis,tunica albuginea growth,complete loss of time and postoperative pain score of two of two groups were observed and recorded. Results Tonsil wound errhysisin of two groups were significantly different. The albuginea completely off time and 12 h and 24 h postoperatively pain score were statistically significant difference( P < 0. 05). Conclusion S-100-A absorbable & hemostatic fibrillar can reduced tonsil wound bleeding and pain,shortened the time of albuginea off completely after low temperature plasma tonsil ablationl.

关 键 词：扁桃体切除术 止血 手术 伤口愈合 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]