反复鼻出血病因及中西结合治疗效果探讨

Clinical observation of traditional chinese medicine combined with western medicine and pathogeny analysis of reduplicated epistaxis

目的:探讨反复鼻出血的病因及观察中西结合治疗疗效。方法:选取笔者所在医院收治的反复鼻出血患者128例,分析记录病因、出血部位,并选择填塞、电凝和中药治疗,观察疗效及不良反应。结果:反复鼻出血的病因以鼻窦炎为主,鼻中隔偏曲次之。填塞+ 中药组治愈率与填塞组比较,治愈率显著提高,无效率及不良反应率显著下降,差异有统计学意义(P<0.05)。电凝+ 中药组治愈率与电凝组比较,有效率显著提高,无效率及不良反应率显著下降,差异有统计学意义(P<0.05)。结论:临床对长期、反复出血,填塞和电凝效果不显著的患者可加用中药以提高疗效。

Objective：To study clinical treatment and pathogeny of reduplicated epistaxis, nethods：128 patients who suffered reduplica- ted epistaxis were enrolled in our study. Pathogeny,location of bleeding were recorded respectively. Curative effects, side effects were observed in different group. Results： The main cause of reduplicated epis（axis was nasosinusitis, the second cause was deviation of nasal septum. The effective rate were higher in electrocoagulation combined with traditional chinese medicine group than electrocoagulation used only groups, but lower in side and inefficient effects rate（P 〈0.05 ）. The curative effects were higher in nasal packing combined with traditional chinese medicine group than nasal packing used only groups（P 〈 0.05 ）. Conclusion：We can select traditional chinese medicine for patients who suffered long -term and reduplicated epistaxis.