Alruwaili Thamer Alshami Marghel, Alazmi Yazeed Mayah, Alenzi Meshari Mosleh, Tashkandi Noha Farouk
Pediatrics, College of Medicine, Jouf University, Sakaka, SAU.
General Practice, College of Medicine, Jouf University, Sakaka, SAU.
Cureus. 2024 Feb 16;16(2):e54309. doi: 10.7759/cureus.54309. eCollection 2024 Feb.
Epistaxis, commonly known as nose bleeding, is a prevalent condition in pediatric patients, often managed either at home or in clinical settings. This study aimed to explore the differences in the management of pediatric epistaxis between home and clinical settings, focusing on gender distribution, clinical presentations, and treatment methods.
A retrospective review was conducted, analyzing pediatric epistaxis cases managed both at home and in clinical settings. Data on gender distribution, clinical presentation, and treatment methods were collected and analyzed. Home remedies, first aid management, and clinical interventions like the use of nasal sprays and septoplasty were evaluated.
The study found significant differences in gender distribution between home (46.2% males) and clinical settings (61% males). Recurrent nasal bleeding was more common in home settings (75%), whereas more complex cases were predominant in clinical settings. Nasal sprays containing decongestants were widely used in clinical settings (62.1%), contrasting with a preference for first aid measures at home. Surgical interventions like septoplasty were occasionally employed in clinical scenarios.
The study highlights distinct approaches to managing pediatric epistaxis in home versus clinical settings. It underscores the importance of tailored treatment strategies, considering the severity and frequency of epistaxis episodes. These findings suggest a need for comprehensive guidelines to assist caregivers and healthcare professionals in effective decision-making for pediatric epistaxis management. The study also emphasizes the necessity for ongoing research and education in this area.
鼻出血，俗称流鼻血，是儿科患者中的常见病症，通常在家中或临床环境中进行处理。本研究旨在探讨在家中和临床环境中处理儿科鼻出血的差异，重点关注性别分布、临床表现和治疗方法。
进行了一项回顾性研究，分析在家中和临床环境中处理的儿科鼻出血病例。收集并分析了有关性别分布、临床表现和治疗方法的数据。评估了家庭疗法、急救处理以及诸如使用鼻喷雾剂和鼻中隔成形术等临床干预措施。
研究发现，在家中处理的病例中男性占46.2%，而在临床环境中男性占61%，两者在性别分布上存在显著差异。在家中复发性鼻出血更为常见（75%），而在临床环境中更复杂的病例占主导。含有减充血剂的鼻喷雾剂在临床环境中广泛使用（62.1%），与之形成对比的是在家中更倾向于采取急救措施。鼻中隔成形术等外科干预措施在临床情况中偶尔使用。
该研究突出了在家中和临床环境中处理儿科鼻出血的不同方法。它强调了根据鼻出血发作的严重程度和频率制定个性化治疗策略的重要性。这些发现表明需要全面的指南来协助护理人员和医疗保健专业人员在儿科鼻出血管理中做出有效的决策。该研究还强调了在这一领域持续进行研究和教育的必要性。
