鼻中隔缝合在鼻中隔偏曲矫正术后的应用分析

Application of nasal septum suture in the endoscopic surgery of nasal septum deviation

目的观察鼻中隔缝合在鼻内镜下鼻中隔偏曲矫正术后的治疗价值。方法选取2021年3月至2022年12月清远市清新区人民医院接收治疗的60例鼻中隔偏曲患者,经随机数字表法分为对照组(n=30)和观察组(n=30)。对照组采用鼻腔填塞治疗,观察组为鼻中隔缝合治疗。对比两组术前、术后48 h匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)评分、鼻内镜评分、主观感受视觉疼痛量表(visual analogue scale,VAS)评分;比较两组住院费用、住院时间、出血量等情况及术后随访3个月并发症等情况。结果观察组术后48 h,PSQI评分明显比对照组低(5.24±0.71 vs.10.21±2.30);主观感受VAS评分均低于对照组[鼻塞(3.25±0.51 vs.5.28±0.80)、头痛(2.61±0.84 vs.4.57±1.05)、鼻痛(2.35±0.57 vs.6.14±0.97)、耳鸣/耳闷(0.48±0.08 vs.2.56±0.95)、睡眠困难(0.84±0.12 vs.4.02±1.23)、溢泪(0.58±0.05 vs.2.21±0.54)、吞咽困难(0.67±0.04 vs.3.36±0.54)],差异比较均有统计学意义。观察组术后出血量、住院时间和住院费用均低于对照组。术后随访3个月,观察组术后并发症总发生率为6.67%(2/30),对照组为20.00%(6/30),差异比较有统计学意义(χ2=0.889,P<0.05)。结论鼻中隔缝合较鼻腔填塞在鼻中隔偏曲矫正术后应用更能减轻患者不适感,改善临床症状,降低并发症发生,缩短住院时间,提高患者临床疗效和生活质量。

Objective To observe the aplication of nasal septum suture in the endoscopic surgery of nasal septum deviation.Methods From March 2021 to December 2022,60 patients with nasal septum deviation who treated in our hospital were randomly divided into control group(n=30)and observation group(n=30).The control group received nasal packing treatment,while the observation group received nasal septum suture treatment.The difference were compared in Pittsburgh Sleep Quality Index(PSQI)scores,sinus CT scores,nasal endoscopy scores,and subjective visual analog pain scale(VAS)scores between the two groups,before and 48 hours after surgery;and compared in hospitalization expenses,length of stay,and amount of bleeding and complications during 3-month follow-up after surgery.between the two groups.Results For 48 hours after surgery,the PSQI scores in the observation group were significantly lower than that in the control group(5.24±0.71 vs.10.21±2.30);The subjective VAS scores of the observation group at 48 hours after surgery were significantly lower than that in the control group[nasal congestion(3.25±0.51 vs.5.28±0.80),headache(2.61±0.84 vs.4.57±1.05),nasal pain(2.35±0.57 vs.6.14±0.97),tinnitus/ear tightness(0.48±0.08 vs.2.56±0.95),difficulty sleeping(0.84±0.12 vs.4.02±1.23),tearing(0.58±0.05 vs.2.21±0.54),and swallowing difficulties(0.67±0.04 vs.3.336±0.54)],and the differences were all statistically significant.Postoperative bleeding,hospitalization time and hospitalization cost in the observation group were lower than that in the control group.After 3 months of postoperative follow-up,the total incidence of postoperative complications in the observation group was 6.67%(2/30),while in the control group it was 20.00%(6/30),with a statistically significant difference(χ2=0.889,P<0.05).Conclusions Nasal septum suture is more effective than nasal packing in relieving patients'discomfort,improving clinical symptoms,reducing the risk of complications,shortening hospital stay,and decreasing patients'medical burden,improving patients'clinical efficacy and quality of life.