鼻内镜下双极电凝止血治疗对顽固性鼻出血患者鼻腔通气、出血量及临床疗效的影响  

The effect of bipolar electrocoagulation hemostasis therapy under nasal endoscopy on nasal ventilation,bleeding volume,and clinical efficacy in patients with refractory epistaxis

作　　者：姜宏阳 李强 徐良建 Jiang Hongyang;Li Qiang;Xu Liangjian(Xuzhou Medical University Afiliated Shuyang Hospital,Jiangsu,Suqian,223600,China)

机构地区：[1]徐州医科大学附属沭阳医院,江苏宿迁223600

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第6期6-9,共4页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的探讨分析鼻内镜下双极电凝止血治疗对顽固性鼻出血患者的应用效果。方法在我院2021年4月-2023年1月间收治的顽固性鼻出血患者中随机抽取68例作为研究对象,采用抛硬币法随机分为对照组(34例,传统鼻腔填塞治疗)与研究组(34例,鼻内镜下双极电凝止血治疗),比较两组临床疗效、鼻腔通气情况、鼻腔总出血量、并发症及复发情况。结果研究组临床疗效、鼻腔通气情况、鼻腔总出血量、并发症及复发情况均优于对照组,P<0.05。结论内镜下双极电凝止血可有效减少顽固性鼻出血患者鼻腔出血量,提高临床治疗效果,促进鼻腔通气功能恢复,降低并发症发生率及鼻出血复发率。Objective To explore and analyze the application effect of bipolar electrocoagulation hemostasis therapy under nasal endoscopy on patients with refractory epistaxis.Method 68 patients with stubborn epistaxis admitted to our hospital from April 2021 to January 2023 were randomly selected as research subjects.They were randomly divided into a control group(34 cases,traditional nasal packing treatment)and a study group(34 cases,bipolar electrocoagulation hemostasis treatment under nasal endoscopy)using the coin toss method.The clinical effcacy,nasal ventilation,total nasal bleeding,complications,and recurrence of the two groups were compared.Result The clinical efficacy,nasal ventilation,total nasal bleeding,complications,and recurrence in the study group were better than those in the control group,P<0.05.Conclusion Endoscopic bipolar electrocoagulation hemostasis can effectively reduce the amount of nasal bleeding in patients with refractory epistaxis,improve clinical treatment effectiveness,promote the recovery of nasal ventilation function,and reduce the incidence of complications and bleeding recurrence.

关 键 词：鼻内镜 双极电凝 顽固性鼻出血 鼻腔通气 

分 类 号：R76[医药卫生—耳鼻咽喉科]