鼻内镜下二氧化碳激光和Nd:YAG激光治疗鼻出血的比较研究

Comparative study of CO_2 laser and Nd:YAG laser on patients with nose bleeding

目的分析鼻内镜下二氧化碳(CO2)激光和Nd:YAG激光治疗鼻出血的临床疗效差异。方法选择在该院接受治疗的鼻出血患者作为研究对象,随机分为接受Nd:YAG激光治疗的观察组及接受二氧化碳(CO2)激光治疗的对照组,比较两组患者的手术相关指标、预后及生活质量评分等差异。结果观察组患者接治疗后的术中出血量、止血时间及手术时间均明显少于对照组患者(P<0.05)。观察组患者接受治疗后的术后首次出血时间短于对照组,术后3个月内鼻出血次数以及主观嗅觉减弱例数均明显少于对照组患者(P<0.05)。观察组患者接受治疗后的躯体功能、心理功能、社会功能及物质生活状态等生活质量评分均显著高于对照组患者(P<0.05)。结论鼻内镜下Nd:YAG激光治疗鼻出血可以显著减少术中出血量、缩短手术时间,且减少术后复发及对嗅觉的影响,提升患者生活质量。

【objective】To analyze the difference between CO2 laser and Nd： YAG laser on patients with nose bleeding.【Methods】122 cases of patients with nose bleeding were randomly divided into observation group accepting the Nd： YAG laser and control group treated with CO2 laser. The indicators related to the operation, difference of prognosis and quality of life score in two groups were compared.【Results】The estimation of blood loss in operation,bleeding time and operation time in observation group were significantly less than that in control group（P〈0.05）.The postoperative bleeding for the first time in observation group were shorter, postoperative nasal bleeding in 3month number as well as the subjective sense of smell less cases patients were significantly less than that in control group（P〈0.05）. The body function, psychological function, social function and material living conditions and the quality of life scores in observation group were significantly higher（P〈0.05）.【Conclusion】Under nasal endoscope Nd： YAG laser treatment of nasal hemorrhage can significantly reduce intraoperative blood loss, shorten the operation time, and reduce the postoperative recurrence and influence on the sense of smell, improve patient＇s quality of life.