鼻中隔缝合和鼻腔填塞对鼻中隔矫形术患者围手术期生命体征的影响  

Assessment of postoperative vital signs by nasal packing versus transseptal suturing techniques after septoplasty

作　　者：黄观辉[1] 郝园园 王庭良[1] 陈宝淑 王桂芳[1] HUANG Guanhui;HAO Yuanyuan;WANG Tingliang;CHEN Baoshu;WANG Guifang(Department of Otolaryngology,the 59th Central Hospital of PLA,Kaiyuan,Yunnan,661600,China)

机构地区：[1]解放军第五十九中心医院耳鼻咽喉科,云南开远661600

出　　处：《中国耳鼻咽喉头颈外科》2018年第7期367-369,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的评价鼻中隔矫形术中分别应用填塞法和缝合法固定鼻中隔,对患者围手术期心率、血压、呼吸的影响。方法选取80例鼻中隔偏曲矫形术患者,随机分为缝合组和填塞组,收集患者手术前、后的心率、血压、呼吸情况,比较两组生命体征的变化情况并观察术后并发症。结果缝合组患者围手术期心率、血压、呼吸的变化情况均小于填塞组(P均<0.05)。围手术期发生异常生命体征的概率小于填塞组(P<0.05)。术后并发症的发生两组无明显差异。结论鼻中隔缝合法用于鼻中隔矫形术,术后患者生命体征较填塞组平稳,对患者心血管系统和全身情况负担小,术后并发症的发生无增高,可考虑替代填塞法用于鼻中隔矫形术。OBJECTIVE To evaluate the affection to heart rate, blood pressure and breathing rate by nasal packing versus transseptal suturing techniques during patients undergone septoplasty. METHODS Eighty patients with deviation of nasal septum were included in this study. The patients were allocated into two groups： packing group and suturing group. The heart rates, blood pressure and breathing rates pre-and post-operations were collected,and the ascending range of these between two groups were assessed. The post-operative complications were observed.RESULTS The ascending range of the heart rates, blood pressure and breathing rates were smaller in suturing group than in packing group patients（P〈0.05）. There is no significant differences in post-operative complications between 2 groups. CONCLUSION Nasal suturing techniques during septoplasty might be a valid substitution for packing with more stable vital signs, smaller burden on the cardiovascular system and the same complication rates.

关 键 词：鼻中隔 缝合技术 生命体征 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]