鼻内镜治疗难治性鼻出血30例临床效果研究

Clinical effect study of endoscopic in the treatment of 30 cases of refractory epistaxis

目的探讨鼻内镜治疗难治性鼻出血的临床效果及安全性。方法将2016年1月至2017年3月入我院治疗的60例难治性鼻出血患者随机分为对照组和试验组,各30例。对照组患者给予传统填塞法治疗,试验组患者给予鼻内镜电凝止血治疗,评价两组的临床效果。结果试验组总出血量、术后恢复通气时间及鼻黏膜恢复时间均优于对照组,差异具有统计学意义(P<0.05)。试验组总有效率为100.0%,显著高于对照组的70.0%(P<0.05)。治疗后,试验组患者的皮质醇、肾上腺素水平低于对照组(P<0.05)。结论采用鼻内镜技术治疗难治性鼻出血疗效确切,术后恢复好,安全性高,值得推广。

Objective To investigate the clinical efficacy and safety of endoscopic surgery in the treatment of refractory epistaxis.Methods Sixty patients with refractory epistaxis admitted from January 2016 to March 2017 in our hospital were randomly divided into control group and experimental group,with 30 cases in each group.The patients in the control group were treated with traditional tamponade.The patients in the experimental group were treated with endoscopic electrocoagulation.The clinical effects were compared between the two groups.Results The total bleeding volume,postoperative recovery ventilation time and postoperative nasal mucosa recovery time in the experimental group were significantly better than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of the experimental group was 100.0%,which was significantly higher than 70.0%of the control group(P<0.05).The levels of cortisol and epinephrine in the experimental group after treatment were lower than those in the control group(P<0.05).Conclusion Endoscopic surgery applied in the treatment of refractory epistaxis is effective,with good postoperative recovery and high safety,and it is worthy of promotion.