S-100可吸收性止血绫在鼻内镜术后填塞中的效果研究

Study on the Effect of Absorbable Hemostatic Silk Packing after Nasal Endoscopic Surgery

目的:对可吸收性止血绫在鼻内镜术后填塞效果进行探究。方法:选取本院于2019年3月-2020年3月收治的116例不伴鼻中隔偏曲慢性鼻-鼻窦炎(CRS)的患者作为研究对象,并将其随机分为观察组和对照组,各58例。观察组在术后使用可吸收性止血绫填塞,对照组在术后使用PVF膨胀海绵进行填塞。观察两组疼痛发生率、术后48 h出血量及视觉模拟评分(VAS)情况。结果:观察组术后疼痛发生率、术后48 h出血量及VAS评分情况,均优于未使用止血绫的对照组,差异均有统计学意义(P<0.05)。结论:可吸收性止血绫在术后给患者带来的不良反应较少,是慢性鼻-鼻窦炎患者术后较为理想的填塞材料,值得推广使用。

Objective:To explore the effect of absorbable hemostatic silk packing after nasal endoscopic surgery.Method:A total of 116 patients with chronic rhinosinusitis (CRS) without nasal septum deviation in our hospital from March 2019 to March 2020 were selected as the research objects,and they were randomly divided into the observation group and the control group,58 cases in each group.The observation group was packed with absorbable hemostatic silk after operation,while the control group was packed with PVF expanded sponge after operation.The incidence of postoperative pain,blood loss at 48 h after operation and visual analogue score (VAS) were observed.Result:The incidence of postoperative pain,blood loss at 48 h after operation and VAS score of the observation group were better than those of the control group without absorbable hemostatic silk,and the differences were statistically significant (P<0.05).Conclusion:Absorbable hemostatic silk has less adverse reactions to patients after operation,and it is an ideal packing material for patients with chronic rhinosinusitis after operation,which is worthy of promotion.