Chheda Neil, Katz Arnold E, Gynizio Lori, Singer Adam J
Department of Surgery, State University of New York at Stony Brook, Stony Brook, NY, USA.
Otolaryngol Head Neck Surg. 2009 Feb;140(2):215-7. doi: 10.1016/j.otohns.2008.09.012.
The purpose of this study was to compare the pain and discomfort associated with the removal of two commercially available nasal tampons after nasal surgery.
Prospective, paired, randomized clinical trial.
Consecutive, consenting, adult patients undergoing nasal surgery.
The nose was packed with a Rapid Rhino tampon (Applied Therapeutics, Tampa, FL) on one side and a Rhino Rocket tampon (Shippert Medical Technologies Corporation, Centennial, CO) on the other.
The pain of packing removal was assessed with a validated 100-mm visual analog scale. Patient satisfaction was measured on a Likert scale from 1 to 5.
In all 13 patients, the pain of removal was greater with the Rhino Rocket Tampon (82.7 +/- 20.9 mm) than with the Rapid Rhino tampon (12.0 +/- 11.9 mm); the mean difference was 70.7 mm (95% confidence interval [CI], 47.1-78.2 mm; P < 0.0001). Patient satisfaction was significantly higher with the Rapid Rhino nasal tampon (4.6 +/- 1.1 vs 1.5 +/- 0.7; mean difference 3.1 [95% CI, 2.6-3.6]; P < 0.001).
Removal of the Rapid Rhino nasal tampon was significantly less painful and was associated with higher patient satisfaction than the removal of the Rhino Rocket nasal tampon.
本研究旨在比较鼻手术后取出两种市售鼻腔填塞物时的疼痛和不适情况。
前瞻性、配对、随机临床试验。
接受鼻手术的连续、自愿的成年患者。
一侧鼻腔用快速犀牛牌填塞物（应用治疗公司，佛罗里达州坦帕）填塞，另一侧用犀牛火箭牌填塞物（希珀特医疗技术公司，科罗拉多州森特尼尔）填塞。
使用经过验证的100毫米视觉模拟量表评估取出填塞物时的疼痛程度。采用1至5分的李克特量表测量患者满意度。
在所有13例患者中，取出犀牛火箭牌填塞物时的疼痛程度（82.7±20.9毫米）高于快速犀牛牌填塞物（12.0±11.9毫米）；平均差异为70.7毫米（95%置信区间[CI]，47.1 - 78.2毫米；P < 0.0001）。快速犀牛牌鼻腔填塞物的患者满意度显著更高（4.6±1.1对1.5±0.7；平均差异3.1[95%CI，2.6 - 3.6]；P < 0.001）。
与取出犀牛火箭牌鼻腔填塞物相比，取出快速犀牛牌鼻腔填塞物时的疼痛明显减轻，且患者满意度更高。
