鼻内镜术后鼻腔冲洗对疗效的影响  

Effect of Nasal Cavity Irrigation after Nasal Endoscopy on Curative Effect

作　　者：徐纯栋 XU Chun-dong(Department of Otorhinolaryngology Head and Neck Surgery,Funing County People's Hospital,Funing,Jiangsu Province,224400 China)

机构地区：[1]阜宁县人民医院耳鼻咽喉头颈外科,江苏阜宁224400

出　　处：《中外医疗》2020年第26期37-39,共3页China & Foreign Medical Treatment

摘　　要：目的探析伴鼻息肉慢性鼻窦炎患者鼻内镜手术治疗后应用鼻腔冲洗对临床疗效的影响。方法方便选取该院2017年1月—2019年10月期间行鼻内镜手术治疗的67例伴鼻息肉慢性鼻窦炎患者依据随机原则分成两组,对照组33例,冲洗组34例。对照组患者未接受鼻腔冲洗,冲洗组患者术后鼻腔填塞物取出后给予鼻腔冲洗,对比两组临床疗效、术创上皮化时间、临床症状(鼻塞、鼻痛、头痛)消失时间及术后出血量。结果冲洗组临床总有效率为97.06%,对照组为78.79%,差异有统计学意义(χ^2=5.120,P<0.05);冲洗组术创上皮化时间为(23.16±5.03)d,对照组为(30.97±5.10)d,差异有统计学意义(t=5.130,P<0.05)。冲洗组鼻塞、鼻痛、头痛症状消失时间分别为(2.91±0.68)d、(3.65±0.79)d、(3.45±0.81)d,对照组为(4.02±0.78)d、(5.10±0.82)d、(5.09±0.79)d,差异有统计学意义(t=5.260、6.010、5.490,P <0.05);冲洗组术后出血量为(35.26±5.26)mL,对照组为(46.57±5.64)mL,差异有统计学意义(t=6.570,P <0.05)。结论伴鼻息肉慢性鼻窦炎患者鼻内镜手术治疗后应用鼻腔冲洗的效果十分确切,可显著减轻患者临床症状,减少术后出血量,具有极高的临床推广价值。Objective To explore the effect of nasal cavity irrigation on the clinical efficacy of patients with chronic sinusitis with nasal polyps after endoscopic surgery. Methods 67 patients with chronic sinusitis with nasal polyps who underwent endoscopic sinus surgery in the hospital from January 2017 to October 2019 were convenienty selected and divided into two groups according to the principle of randomization, 33 cases in the control group and 34 cases in the irrigation group. Patients in the control group did not receive nasal irrigation, and patients in the irrigation group were given nasal irrigation after the nasal fillings were taken out. The clinical efficacy, epithelialization time of surgical wounds,clinical symptoms(nasal congestion, nasal pain, headache) disappearance time and postoperative bleeding were compared between the two groups the amount. Results The total clinical effective rate of the flushing group was 97.06% and that of the control group was 78.79%, the difference was statistically significant(χ^2=5.120, P<0.05). The wound epithelialization time in the irrigation group was(23.16±5.03) d, and the control group was(30.97±5.10) d, the difference was statistically significant(t =5.130, P <0.05). The disappearance time of nasal congestion, nasal pain, and headache symptoms in the irrigation group were(2.91±0.68) d,(3.65±0.79) d, and(3.45±0.81) d, respectively. The data in the control group were(4.02±0.78) d and(5.10±0.82) d,(5.09±0.79) d, the difference was statistically significant(t=5.260, 6.010, 5.490, P<0.05).The postoperative blood loss in the flushing group was(35.26±5.26) mL, and the control group was(46.57±5.64) mL, the difference was statistically significant(t =6.570, P <0.05). Conclusion The effect of nasal cavity irrigation after nasal endoscopic surgery in patients with chronic sinusitis with nasal polyps is very accurate, which can significantly reduce the clinical symptoms of patients and reduce postoperative bleeding. It has extremely high clinical promotion value.

关 键 词：慢性鼻窦炎 鼻息肉 鼻内镜手术 鼻腔冲洗 临床疗效 

分 类 号：R765[医药卫生—耳鼻咽喉科]