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鼻内窥镜术后2种鼻腔填塞材料的效果比较

机译:鼻内窥镜术后2种鼻腔填塞材料的效果比较

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:Objective To compare 2 different materials for nasal packing after the endoscopic sinus surgery. Methods 〓Totally 120 patients undergoing endoscopic sinus surgery were divided into the observation group(n=60)and the control group(n=60)according to the sequence of hospital admission. The Vaseline gauze as nasal packing material was used in the control group.The absorbable hemostatic gauze and Ivalon sponge were used in the observation group. The postoperative discomfort(headache and pain in the nasal region 24 hours after surgery), bleeding after removing of nasal packing and condition of nasal mucosa were evaluated and compared between two groups. Results 〓Compared with patients in the control group, those in the observation group suffered less postoperative discomfort(χ2=17.277, P0.01), few bleeding after removing of nasal packing(χ2=13.254, P0.01)and less severe mucosa reaction(χ2=13.648, P0.01). Conclusion 〓The application of Ivalon sponge after the endoscopic sinus surgery can effectively reduce the postoperative discomfort, bleeding after removing of nasal packing and related adverse reactions.
机译::目的比较内窥镜鼻窦手术后两种不同的鼻充填材料。方法〓根据入院时间顺序,将120例行内镜鼻窦手术的患者分为观察组(n = 60)和对照组(n = 60)。对照组采用Vaseline纱布作为鼻填充材料,观察组采用可吸收的止血纱布和Ivalon海绵。评估两组患者的术后不适(术后24小时鼻腔头痛和疼痛),去除鼻腔填充物后的出血以及鼻黏膜状况。结果〓与对照组相比,观察组术后不适感较轻(χ2= 17.277,P <0.01),鼻腔填塞术后出血少(χ2= 13.254,P <0.01),黏膜反应较轻。 (χ2= 13.648,P <0.01)。结论〓鼻内窥镜手术后应用Ivalon海绵可有效减轻术后不适,鼻塞去除后出血及相关不良反应。

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