鼻腔填塞膨胀海绵在鼻窦炎患者经鼻内镜鼻窦手术后的应用效果  

Application Effect of Nasal Packing of Inflatable Sponge in Patients with Sinusitis After Endoscopic Sinus Surgery

作　　者：李涵宇 刘依男 焦宇 Li Han-yu;Liu Yi-nan;Jiao Yu(Department of Otorhinolaryngology,Jilin Province FAW General Hospital,Changchun 130011,Jilin Province,China)

机构地区：[1]吉林省一汽总医院耳鼻喉科,吉林长春130011

出　　处：《中国社区医师》2022年第34期35-37,共3页Chinese Community Doctors

摘　　要：目的:探讨鼻腔填塞膨胀海绵在鼻窦炎患者鼻内镜鼻窦手术(FESS)后的应用效果。方法:选取2020年6月-2021年6月吉林省一汽总医院耳鼻喉科行FESS治疗的鼻窦炎患者92例为观察对象,根据随机数字表法分为对照组与试验组,各46例。对照组给予油纱进行鼻腔填塞,试验组给予膨胀海绵进行鼻腔填塞,比较两组患者鼻腔疼痛评分[视觉模拟评分法(VAS)]、出血量、鼻腔症状及功能情况[鼻腔鼻窦结局测试-22(snot-22)]、并发症发生率。结果:试验组鼻腔VAS评分低于对照组,差异有统计学意义(P<0.05);试验组出血量少于对照组,差异有统计学意义(P<0.05);治疗后,两组患者鼻塞、流涕、味觉功能评分均升高,试验组高于对照组,差异有统计学意义(P<0.05);试验组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:鼻窦炎患者行FESS手术后,鼻腔填塞膨胀海绵可减轻患者术后疼痛,减少出血量,促进患者鼻腔症状改善及功能恢复,降低并发症发生率。Objective: To investigate the application effect of nasal packing of inflatable sponge in patients with sinusitis after functional endoscopic sinus surgery(FESS). Methods: A total of 92 patients with sinusitis who received FESS treatment in Department of Otorhinolaryngology, Jilin Province FAW General Hospital from June 2020 to June 2021 were selected as the observation objects and they were divided into control group and experimental group according to random number table method,with 46 cases in each group. The control group was given nasal packing of oil gauze and the experimental group was given nasal packing of inflatable sponge. Nasal pain [Visual Analogue Scale(VAS)], amount of blood loss, nasal cavity symptoms and function[Sino-Nasal Outcome Test 22(SNOT-22)], and the incidence of complications were compared between two groups. Results: The nasal VAS score in the experimental group was lower than that in the control group, and the difference was statistically significant(P<0.05). The amount of blood loss in the experimental group was less than that in the control group, and the difference was statistically significant(P<0.05). After treatment, the scores of nasal congestion, runny nose and taste function in both groups were increased, and the experimental group was higher than the control group, and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the experimental group was lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion: Nasal packing with inflatable sponge after FESS surgery in patients with sinusitis can relieve postoperative pain, reduce the amount of blood loss, promote the improvement of nasal cavity symptoms and function,and reduce the incidence of complications.

关 键 词：鼻窦炎 鼻内镜鼻窦手术 膨胀海绵 并发症 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]