鼻内镜下鼻腔电凝术治疗鼻腔后部出血临床分析

Clinical Analysis of Endoscope-aided Electrocoagulation in Treamtment of Posterior Nasal Hemorrhage

目的:探讨鼻内镜下鼻腔电凝术对鼻腔后部出血的临床疗效。方法:采用随机单盲对照,将入选的40例鼻腔后部出血患者随机分为治疗组和对照组,治疗组采用鼻内镜手术,对照组采用凡士林纱条填塞法。观察治疗中患者的疼痛反应、治疗后患者的进食情况以及治疗后1周内的再出血情况。结果:(1)止血过程中,治疗组患者的疼痛反应明显低于对照组(P<0.05),有统计学差异;(2)止血后,治疗组患者的进食情况明显优于对照组(P<0.05),有统计学差异;(3)治疗后1周内鼻腔再出血情况对比,治疗组临床疗效高于对照组(P<0.05),有统计学差异。结论:鼻内镜下鼻腔电凝术治疗鼻腔后部出血,具有疼痛反应小、不良反应少、止血明确的优势,值得临床推广。

Objective： To analyze clinical efficacy of endoscope-aided electrocoagulation in treatment of posterior nasal hemorrhage. Methods： A total of 40 patients with posterior nasal bleeding were randomly divided into treatment group and control group. The treatment group were given nasal endoscopic operation while control group were applied vaseline gauze. During the treatment, pain reactions of patients in each group were observed and compared, so were their eating difficulties immediately after the treatment and their epistaxis symptoms one week after the treatment. Results： （1）Patients in the treatment group experienced less epistaxis symptoms and milder pain reactions than those in the control group （P〈0.05）, there was significant difference; （2） After the treatment, patients in the treatment group had much less eating difficulties than those in the control group （P〈0.05）, there was significant difference; （3）One week after the treatment, the clinical efficacy of the treatment group was higher than that of the control group （P〈0.05）, and there was significant difference. Conclusion： Endoscope-aided eleetrocoagulation is more advisable in clinical treatment of posterior nasal hemorrhage as it proves more effective and reduces pain and adverse reactions.