Rhino凝胶止血材料用于鼻腔填塞的临床观察

The clinical observation of nasal packing with Rhino Rapid Nasal Dressing with Gel Knit

目的:探讨Rhino凝胶止血材料在鼻腔、鼻窦术后及严重鼻出血的临床应用价值。方法:对传统的凡士林纱条和新型的凝胶止血材料进行鼻腔填塞的2组病例的临床资料进行回顾性分析,并对2种填塞方法在填塞期和抽取时患者的鼻腔疼痛和(或)头痛,控制出血的有效性和抽取填塞物的难易程度进行比较。结果:Rhino组在填塞期和抽取时患者鼻腔疼痛和(或)头痛比凡士林组轻(P<0 .01和P<0 .05)。填塞期24h出血量差异无统计学意义(P>0 .05) ,但在抽取时出血量差异有统计学意义(P<0 .01) ,抽取填塞物时,Rhino组比凡士林纱条组容易(P<0 .01)。结论:Rhino具有药物止血和压迫止血双重功能,是一种理想的鼻腔填塞物。

Objective：To explore the value of using Rapid Nasal Dressing with Gel Knit in the patients with the postoperative nasal cavity and sinuses or severe epistaxis. Method： A comparative study was carried out for the clinical effects of traditional Vaseline gauze with that of Rhino Rapid Nasal Dressing with Gel Knit as nasal packing materials, through a valuation on the patient discomfort with headache and control of postoperative bleeding and ease of removal. Result：There was a significant difference in headache during the period of packing and removal between two groups （ P 〈0.01, .P〈0.05）. There was no significant difference in the volume of bleeding during the 24 hours packing （ P〉0.05）, but there was one time during removal （P〈0.01）, and it was also more ease of removal than that of the group with Vaseline gauze （ P 〈0.01 ）. Conclusion： Rhino Rapid Nasal Dressing with Gel Knit is a kind of ideal material for nasal packing, because of its effect of drug hemostasis and compressive hemostasis.