鼻内镜下电凝止血术治疗高血压性鼻出血的临床效果  

Clinical Effect of Electrocoagulation Hemostasis Surgery under Nasal Endoscope in the Treatment of Hypertensive Epistaxis

作　　者：王亮 WANG Liang(Ninghua County General Hospital,Ninghua 365400,China)

机构地区：[1]宁化县总医院,福建宁化365400

出　　处：《中外医学研究》2024年第12期47-50,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析鼻内镜下电凝止血术治疗高血压性鼻出血的临床效果。方法:回顾性选取2020年10月—2022年10月宁化县总医院耳鼻喉专科收治的50例高血压性鼻出血患者。根据治疗方案的不同将其分为鼻内镜组和填塞组,各25例。填塞组给予鼻腔填塞治疗,鼻内镜组给予鼻内镜下电凝止血术治疗。比较两组治疗后7 d临床疗效,临床指标,治疗后7 d疼痛程度,治疗前、治疗后24 h生命体征指标,不良反应及复发率。结果:鼻内镜组总有效率(96.00%)高于填塞组(72.00%),差异有统计学意义(P<0.05)。鼻内镜组鼻腔通气时间、鼻黏膜复常时间、出血停止时间均短于填塞组,视觉模拟评分法(VAS)评分低于填塞组,差异有统计学意义(P<0.05)。治疗后24 h,填塞组舒张压(DBP)、收缩压(SBP)、心率(HR)、呼吸频率(RR)均升高,鼻内镜组DBP、SBP、HR、RR均低于填塞组,差异有统计学意义(P<0.05)。鼻内镜组不良反应发生率(4.00%)低于填塞组(32.00%),差异有统计学意义(P<0.05)。鼻内镜组复发率为0(0/25),低于填塞组的24.00%(6/25),差异有统计学意义(P<0.05)。结论:鼻内镜下电凝止血术可有效提高高血压性鼻出血治疗效率,减少出血量,促进鼻黏膜恢复正常,减轻对心率、血压的影响,降低复发率,疗效显著。Objective:To analyze the clinical effect of electrocoagulation hemostasis surgery under nasal endoscope in the treatment of hypertensive epistaxis.Method:Fifty patients with hypertensive epistaxis admitted to the Otorhinolaryngology Department of Ninghua County General Hospital from October 2020 to October 2022 were retrospectively selected.They were divided into nasal endoscopy group and tamponade group according to different treatment methods,25 cases in each group.The tamponade group was given nasal tamponade treatment,and the nasal endoscope group was given electrocoagulation hemostasis surgery under nasal endoscope treatment.The clinical efficacy at 7 d after treatment,clinical indexes,pain degree at 7 d after treatment,vital signs indexes before treatment and 24 h after treatment,adverse reactions and recurrence rate were compared between the two groups.Result:The total effective rate of nasal endoscopy group(96.00%)was higher than that of tamponade group(72.00%),and the difference was statistically significant(P<0.05).The nasal ventilation time,nasal mucosa normalization time and bleeding cessation time in the nasal endoscopy group were shorter than those in the tamponade group,and the visual analog scale(VAS)score was lower than that in the tamponade group,the differences were statistically significant(P<0.05).After 24 h of treatment,diastolic blood pressure(DBP),systolic blood pressure(SBP),heart rate(HR)and respiratory rate(RR)in the tamponade group were increased,and DBP,SBP,HR and RR in the nasal endoscopy group were lower than those in the tamponade group,the differences were statistically significant(P<0.05).The incidence of adverse reactions in nasal endoscopy group(4.00%)was lower than that in tamponade group(32.00%),and the difference was statistically significant(P<0.05).The recurrence rate of nasal endoscopy group was 0(0/25),which was lower than 24.00%(6/25)of tamponade group,and the difference was statistically significant(P<0.05).Conclusion:Electrocoagulation hemostasis surgery under nasal e

关 键 词：鼻内镜下电凝止血术 高血压性鼻出血 临床疗效 疼痛程度 

分 类 号：R765.23[医药卫生—耳鼻咽喉科]