湿润烧伤膏联合明胶海绵用于双极电凝治疗鼻出血疗效观察  

Clinical observation on Shirun Shaoshang Ointment combined with gelatin sponge for bipolar electrocoagulation in treatment of nosebleeds

作　　者：杨一卿 狄悦[1] 齐正元 李春娇 付志强[1] YANG Yi-qing;DI Yue;QI Zheng-yuan;LI Chun-jiao;FU Zhi-qiang(Qinhuangdao First Hospital,Qinhuangdao 066000)

机构地区：[1]河北省秦皇岛市第一医院,河北秦皇岛066000

出　　处：《湖北中医药大学学报》2024年第3期102-104,共3页Journal of Hubei University of Chinese Medicine

基　　金：河北省卫生健康委员会科研项目(项目编号:20230910);河北省秦皇岛市科学技术局项目(项目编号:202101A114)。

摘　　要：目的观察湿润烧伤膏联合明胶海绵用于双极电凝治疗鼻出血临床观察。方法将我院120例鼻出血患者随机分为对照组与治疗组各60例。在双极电凝治疗基础上,对照组采用明胶海绵治疗,治疗组在对照组治疗基础上联用湿润烧伤膏治疗。比较两组总有效率;鼻胀和头痛的视觉模拟评分(VAS)、鼻内镜评分;记录止血时间、出血量;统计6个月内不良反应。结果治疗后,治疗组总有效率明显高于对照组(P<0.05);两组鼻胀和头痛VAS、鼻内镜评分均明显低于治疗前,治疗组鼻胀和头痛VAS、鼻内镜评分均明显低于对照组(P<0.05);治疗组止血时间、出血量明显低于对照组(P<0.05);治疗组6个月内不良反应明显低于对照组(P<0.05)。结论湿润烧伤膏联合明胶海绵用于双极电凝治疗鼻出血的临床疗效显著,促进鼻黏膜创面愈合,减少出血量,降低不良反应发生。Objective To observe the clinical efficacy of Shirun Shaoshang Ointment combined with gelatin sponge in bipolar electrocoagulation in treatment of nosebleeds.Methods 120 patients with nosebleeds were randomly divided into control group and treatment group,with 60 cases in each group.Control group received gelatin sponge on the basis of bipolar electrocoagulation therapy,while treatment group received Shirun Shaoshang Ointment on the basis of control group.The total effective rates,Visual Analogue Scale(VAS)score and endoscopic score for nasal distension and headache,hemostasis time and bleeding volume,and adverse reactions within 6 months of the two groups were compared.Results After treatment,the total effective rate of treatment group was significantly higher than those of control group(P<0.05);VAS scores and endoscopic scores of nasal distension and headache in both groups were significantly lower than before treatment,and were significantly lower in treatment group than control group(P<0.05);hemostasis time and bleeding volume in treatment group were significantly lower than those in control group(P<0.05);adverse reactions within 6 months in treatment group were significantly lower than those in control group(P<0.05).Conclusion The combination of Shirun Shaoshang Ointment and gelatin sponge has significant clinical efficacy in bipolar electrocoagulation treatment of nosebleeds,promoting wound healing of nasal mucosa,reducing bleeding volume,and reducing the occurrence of adverse reactions.

关 键 词：鼻出血 双极电凝 湿润烧伤膏 明胶海绵 

分 类 号：R276.1[医药卫生—中医五官科学]