鼻内窥镜术后2种鼻腔填塞材料的效果比较  

A comparative study of nasal packing materials after the endoscopic sinus surgery

作　　者：徐莹 金丹 王娜 李婵婵 XU Ying;JIN Dan;WANG Na;LI Chanchan(Department of Otolaryngology,The Affiliated Hospital ofXuzhou Medical University,Xuzhou,Jiangsu,221000)

机构地区：[1]江苏省徐州医科大学附属医院耳鼻喉科

出　　处：《中西医结合护理（中英文）》2019年第4期95-97,共3页Journal of Clinical Nursing in Practice

摘　　要：目的比较鼻内窥镜术后采用2种鼻腔填塞材料的止血效果。方法120例接受鼻内窥镜手术治疗的患者根据入院顺序分为观察组60例和对照组60例。对照组使用凡士林油纱条填塞鼻腔,观察组使用可吸收止血纱布填塞创面,然后再用Ivalon止血海绵填塞鼻腔。比较2组患者术后24h头痛和鼻腔胀痛程度,评估取出填塞物时出血情况和鼻腔黏膜情况。结果与对照组比较,观察组头痛与鼻腔胀痛程度较轻(χ2=17.277,P<0.01),出血量较少(χ2=13.254,P<0.01),鼻腔黏膜反应较轻微(χ2=13.648,P<0.01)。结论鼻内窥镜术后使用Ivalon止血海绵填塞可有效缓解疼痛,降低填塞物取出后出血发生,减少鼻腔黏膜不良反应。Objective To compare 2 different materials for nasal packing after the endoscopic sinus surgery. Methods Totally 120 patients undergoing endoscopic sinus surgery were divided into the observation group( n =60) and the control group ( n =60) according to the sequence of hospital admission. The Vaseline gauze as nasal packing material was used in the control group.The absorbable hemostatic gauze and Ivalon sponge were used in the observation group. The postoperative discomfort(headache and pain in the nasal region 24 hours after surgery), bleeding after removing of nasal packing and condition of nasal mucosa were evaluated and compared between two groups. Results Compared with patients in the control group, those in the observation group suffered less postoperative discomfort(χ 2=17.277, P <0.01), few bleeding after removing of nasal packing(χ 2=13.254, P <0.01) and less severe mucosa reaction (χ 2=13.648, P <0.01). Conclusion The application of Ivalon sponge after the endoscopic sinus surgery can effectively reduce the postoperative discomfort, bleeding after removing of nasal packing and related adverse reactions.

关 键 词：内窥镜 鼻腔填塞 止血海绵 纱布 鼻窦手术 

分 类 号：R473.76[医药卫生—护理学]