鼻内镜下微波治疗顽固性鼻出血的临床效果及对相关指标的影响研究  

Study on the Clinical Effect of Microwave Therapy for Refractory Nosebleed under Nasal Endoscopy and the Influence on Related Indexes

作　　者：刘亚军 LIU Yajun(Fuxin Second People’s Hospital,Liaoning Province,Fuxin 123000,China)

机构地区：[1]辽宁省阜新市第二人民医院(辽宁省阜新市妇产医院),辽宁阜新123000

出　　处：《中国医学创新》2022年第18期57-61,共5页Medical Innovation of China

摘　　要：目的:探讨鼻内镜下微波治疗顽固性鼻出血的临床效果及对相关指标的影响。方法:选取2020年1月-2021年1月阜新市第二人民医院收治的210例顽固性鼻出血患者,应用随机数字表法将患者分为A组(n=105)及B组(n=105)。B组行鼻腔填塞法治疗,A组行鼻内镜下微波治疗。比较两组治疗总有效率、临床观察指标、疼痛评分及并发症发生情况。结果:A组总有效率为93.33%,高于B组的71.43%,差异有统计学意义(P<0.05)。A组鼻腔总出血量少于B组,鼻腔通气时间及鼻黏膜恢复时间均短于B组,差异均有统计学意义(P<0.05)。A组治疗后6 h的疼痛评分低于B组,差异有统计学意义(P<0.05)。A组并发症发生率为1.90%,低于B组的10.48%,差异有统计学意义(P<0.05)。结论:鼻内镜下微波治疗顽固性鼻出血可改善患者临床症状、且对鼻黏膜的损伤程度较小,并发症发生率低,安全性较高,值得在临床应用推广。Objective:To investigate the clinical effect of microwave therapy for refractory nosebleed under nasal endoscopy and the influence on related indexes.Method:A total of 210 patients with refractory nosebleed admitted to the Fuxin Second People’s Hospital from January 2020 to January 2021 were selected,they were divided into group A (n=105) and group B (n=105) according to the random number table method.Group B was treated with nasal cavity packing method and group A was treated with microwave therapy under nasal endoscopy.The total effective rate,clinical observation index,pain score and complications were compared between two groups.Result:The total effective rate of the group A was 93.33%,which was higher than 71.43% of the group B,the difference was statistically significant (P<0.05).The total nasal bleeding of the group A was less than that of the group B,and the nasal ventilation time and nasal mucosa recovery time of the group A were shorter than those of the group B,the differences were statistically significant (P<0.05).The pain score of the group A was lower than that of the group B at 6 h after treatment,the difference was statistically significant (P<0.05).The complication rate of the group A was 1.90%,which was lower than 10.48% of the group B,the difference was statistically significant (P<0.05).Conclusion:Microwave therapy for refractory nosebleed under nasal endoscopy can improve the clinical symptoms of patients,and the damage degree of nasal mucosa is small,the complication rate is low,high safety,worthy of clinical application and promotion.

关 键 词：鼻内镜 鼻腔填塞 顽固性鼻出血 鼻黏膜 

分 类 号：R765.23[医药卫生—耳鼻咽喉科]