鼻腔填塞法与微波治疗法的对比分析研究

Related Influence Factors Analysis and Curative Effect of Intractable Epistaxis

目的 探讨顽固性鼻出血的相关影响因素及鼻内镜下微波治疗法的临床疗效.方法 2012年2月～2014年2月期间,选取笔者医院收治的顽固性鼻出血患者120例,采用数字表法随机分为对照组和观察组.对照组患者60例,采用常规鼻腔填塞法;观察组患者60例,采用鼻内镜下微波治疗法.然后比较分析两组患者的治疗总有效率、患者满意度、住院时间及治疗前后的凝血纤溶系统各指标.结果 观察组患者的治疗总有效率、患者满意度高于对照组,住院时间短于对照组,uPA、uPAR及PT、APTT及TT均低于对照组,FIB高于对照组.两组比较差异有统计学意义（P＜0.05）.结论 与传统治疗方案相比,鼻内镜下微波治疗顽固性鼻出血的临床疗效更加显著,临床上值得推广应用.

Objective To explore the influence factors of intractable epistaxis and the curative effect of microwave treatment on in- tractable epistaxis under nasal endoscope. Methods A total of 120 cases with intractable epistaxis treated in my hospital from February 2012 to February 2014 were randomly divided into control group （60 cases） and observation group（60 eases）. The control group used the method of nasalpaeking underdirectvision, and the observation group adopted the method of microwave treatment under nasal endoscope. A statistical study was made to the total curative effect rate, the patient＇s satisfaction rate, the length of hospitalization and the index of eruor - fibrinolysis system before and after treatment of the patients in the 2 groups. Results The total effective rate and the patient＇s satisfac- tion rate of the patients in observation group were higher than those of the patients in control group and their length of hospitalization was shorter, uPA, uPAR, PT, APTT and TT of the patients in observation group were higher than those of the patients in control group. The difference of two group was significant（P 〈 0.05）. Conclusion The general curative effect ofmicrowave treatment under nasal endoscope is superior to that of traditional treatment, and it is worthy of wide application in clinic.