| 郭淑侠,姜俊芝,代永友,王超,梁雪,汪波.鼻内镜下可吸收材料微填塞与电凝止血治疗老年动脉性鼻出血的效果比较[J].中国临床保健杂志,2022,25(3):349-351. |
| 鼻内镜下可吸收材料微填塞与电凝止血治疗老年动脉性鼻出血的效果比较 |
| A comparative study on the treatment of senile arterial epistaxis by micro-packing with absorbable material and electrocoagulation under nasal endoscopy |
| 投稿时间：2022-03-02 |
| DOI：10.3969/J.issn.1672-6790.2022.03.013 |
| 中文关键词: 鼻出血 内窥镜检查 可吸收性植入物 电凝术 老年 |
| 英文关键词: Epistaxis Endoscopy Absorbable implants Electrocoagulation Aged 〖FL |
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| 中文摘要: |
| 目的 探讨鼻内镜下可吸收材料微填塞填压出血点治疗老年动脉性鼻出血可行性、有效性及预后,并与传统电凝止血治疗法进行比较。方法 将2018年1月至2021年11月在阜阳市肿瘤医院就诊行手术治疗的96例老年动脉性鼻出血患者纳入研究,按照随机数字表法分成观察组(48例)与对照组(48例)；2组均采用局部麻醉手术,其中观察组患者在鼻内镜下定位出血点后行可吸收生物胶喷洒出血点、可吸收止血纱布填压；对照组采用电凝止血,并用明胶海绵保护创面；治疗后随访3个月,对比2组患者的治愈率、术中疼痛程度、术后粘连、术后鼻腔干燥或麻木不适例数、术后黏膜恢复速度。结果 2组患者治疗后,观察组的治愈率低于对照组,但观察组患者术中疼痛感、术后鼻腔干燥或麻木不适例数、术后粘连例数均低于对照组,且复查见观察组黏膜恢复速度更快,差异均有统计学意义(P＜0.05)。结论 对于老年动脉性鼻出血的治疗,鼻内镜下可吸收材料微填塞出血点和电凝止血均可以作为治疗手段,可吸收材料微填塞对鼻腔黏膜损伤更少,但治愈率有待提高。 |
| 英文摘要: |
| Objective To investigate the feasibility,effectiveness and prognosis of micro-filling and pressing hemorrhagic points with absorbable materials under nasal endoscopy in the treatment of senile arterial epistaxis,and to compare it with traditional electrocoagulation therapy.Methods A total of 96 elderly patients with arterial nosebleed who received surgical treatment in Fuyang Cancer Hospital from January 2018 to November 2021 were included in this study and randomly divided into experimental group (48 cases) and control group (48 cases).Local anesthesia was used in both groups.In the experimental group,bleeding points were sprayed with absorbable biological glue and filled with absorbable hemostatic gauze after bleeding points were found under nasal endoscopy,while in the control group,electrocoagulation was used to stop blood,and gelatin sponge was used to protect the wound surface after hemostasis.The patients were followed up for 3 months after treatment,and the cure rate,intraoperative pain,postoperative adhesions,postoperative nasal dryness and numbness,and postoperative mucosal recovery rate were recorded and compared between the two groups.Results After treatment,the cure rate of the experimental group was lower than that of the control group,but the number of patients in the experimental group with intraoperative pain,postoperative nasal dryness and numbness,postoperative adhesion were better than the control group,and the mucosal recovery rate of the experimental group was faster (all the above results were statistically significant).Conclusions In the treatment of arterial nosebleed in the elderly,both micropacking with absorbable materials under nasal endoscopy and electrocoagulation can be used as treatment methods,and the damage of nasal mucosa caused by micropacking with absorbable materials is less.However,the cure rate of micropacking with absorbable materials needs to be improved. |
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