Duan Y Q, Chen G G, Li Y L, Wang B Q
School of Nursing, Shanxi Medical University, Taiyuan, 03001, China.
Department of Otorhinolaryngology, the First Hospital of Shanxi Medical University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 May 5;30(9):750-753. doi: 10.13201/j.issn.1001-1781.2016.09.021.
To investigate effects of four different types of nasal packs after endoscopic sinus surgery. Sixty patients with chronic rhinosinusitis who underwent endoscopic sinus surgery were evaluated preoperatively using visual analog symptom scale, Lund-Kennedy endoscopy scoring scale, and Lund Mackay CT scoring scale.All patients received nasal packing after operative, and divided into four groups based on the nasal packs used: nasopore group (16 cases), merocel group (16 cases), vaseline gauze group(16 cases) and merocel with vaseline gauze group(12 cases). All packs were removed 48 to 72 hour after the surgery. Clinical effects of four nasal packs were evaluated based on following indexes: pain after twelve hours of nasal packing, bleeding during nasal packing, pain and bleeding during packing removal, difficulty of packing removal. The lowest degree of forementioned five different indexes was found in Nasopore group, and was significantly different with other three groups( <0.05), merocel produced the highest bleeding during nasal packing,which had significant difference with other three groups( <0.05), vaseline gauze produced the highest pain during nasal packing and packing removal, which had significant difference with other three groups( <0.05), merocel combined vaseline gauze had no significant difference with merocel on the pain during nasal packing and packing removal( >0.05), and it had no significant difference with vaseline gauze on bleeding during nasal packing, bleeding upon packing removal and degree of difficulty or ease upon packing removal( >0.05).As a new type of high expansion absorbable nasal packing products applied after FESS, nasopore has the advantages of good hemostatic effect,higher nasal comfort level,least bleeding upon packing removal and so on. At the same time, the implementation of personalized mixed nasal packing of different materials could make up for the various defects when used alone,gained better clinical effect and worthy of clinical popularization and application.
探讨鼻内镜鼻窦手术后四种不同类型鼻腔填塞物的效果。对60例行鼻内镜鼻窦手术的慢性鼻窦炎患者术前采用视觉模拟症状量表、Lund-Kennedy内镜评分量表和Lund Mackay CT评分量表进行评估。所有患者术后均接受鼻腔填塞，并根据所用鼻腔填塞物分为四组：鼻用膨胀海绵组（16例）、美敦力可吸收止血材料组（16例）、凡士林纱条组（16例）和美敦力可吸收止血材料联合凡士林纱条组（12例）。所有填塞物均在术后48至72小时取出。根据以下指标评估四种鼻腔填塞物的临床效果：鼻腔填塞12小时后的疼痛、鼻腔填塞期间的出血、取出填塞物时的疼痛和出血、取出填塞物的难易程度。鼻用膨胀海绵组上述五项指标程度最低，与其他三组差异有统计学意义（<0.05）；美敦力可吸收止血材料在鼻腔填塞期间出血最多，与其他三组差异有统计学意义（<0.05）；凡士林纱条在鼻腔填塞及取出时疼痛最明显，与其他三组差异有统计学意义（<0.05）；美敦力可吸收止血材料联合凡士林纱条在鼻腔填塞及取出时疼痛与美敦力可吸收止血材料组差异无统计学意义（>0.05），在鼻腔填塞期间出血、取出填塞物时出血及取出难易程度方面与凡士林纱条组差异无统计学意义（>0.05）。鼻用膨胀海绵作为功能性鼻内镜鼻窦手术后应用的新型高膨胀可吸收鼻腔填塞产品，具有止血效果好、鼻腔舒适度高、取出时出血少等优点。同时，实施不同材料的个性化混合鼻腔填塞可弥补单独使用时的各种缺陷，获得更好的临床效果，值得临床推广应用。
Zotero 插件