Rajpurohit Ramya, Salaria Neha, Garg Uma
Department of ENT, BPS Government Medical College for Women Khanpur Kalan, Sonepat, Haryana India.
Department of Otorhinolaryngology, G Block, 1st Floor OPD Block, BPS Government Medical College for Women Khanpur Kalan, Sonepat, Haryana 131305 India.
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):2802-2808. doi: 10.1007/s12070-023-03847-6. Epub 2023 May 15.
To evaluate levels of arterial blood gases in patients undergoing septoplasty, with conventional nasal packing versus those with nasal packing with airway. The current prospective comparative study was conducted on 68 patients undergoing septoplasty, who were divided randomly into two groups-conventional nasal packs (ANP) and nasal packs with airway (ANP-A). Arterial blood gas analysis alongwith objective symptoms of patients were recorded and evaluated. The difference between pre and post operative values of SpO (ANP = 6.73 ± 1.17, ANP-A = 2.84 ± 0.91) and pO (ANP = 15.09 ± 4.34, ANP-A = 3.46 ± 1.49) between the two groups was statistically significant ( = 0.001). Differences in post operative pH, pCO and HCO between the two groups was not statistically significant. Significant difference between the two groups was observed in patients' objective symptoms as well. Nasal packs with airway have lesser perturbing effects on septoplasty patients as compared to conventional nasal packs.
评估鼻中隔成形术患者采用传统鼻腔填塞与带气道鼻腔填塞时的动脉血气水平。本前瞻性对照研究对68例行鼻中隔成形术的患者进行，这些患者被随机分为两组——传统鼻腔填塞组（ANP）和带气道鼻腔填塞组（ANP - A）。记录并评估患者的动脉血气分析结果以及客观症状。两组之间术前和术后SpO值（ANP = 6.73 ± 1.17，ANP - A = 2.84 ± 0.91）和pO值（ANP = 15.09 ± 4.34，ANP - A = 3.46 ± 1.49）的差异具有统计学意义（P = 0.001）。两组术后pH、pCO和HCO的差异无统计学意义。两组患者的客观症状也存在显著差异。与传统鼻腔填塞相比，带气道鼻腔填塞对鼻中隔成形术患者的干扰作用较小。
