改良鼻内镜手术治疗对慢性鼻窦炎鼻息肉患者术中出血量和术后住院时间的影响分析

Effect of Modified Endoscopic Nasal Surgery on Intraoperative Blood Loss and Postoperative Hospital Stay in Patients with Chronic Rhinosinusitis and Nasal Polyps

目的探究慢性鼻窦炎鼻息肉患者应用改良鼻内镜手术治疗效果。方法选取2022年10月—2023年10月单县东大医院收治的98例慢性鼻窦炎鼻息肉患者为研究对象,按照随机数表法分为两组,各49例。对照组采取传统鼻内镜手术治疗,研究组采取改良鼻内镜手术治疗,对比两组治疗效果。结果治疗后,研究组鼻塞、流鼻涕、头痛以及水肿症状积分均低于对照组,差异有统计学意义(P均<0.001);研究组术中出血量为(87.12±40.23)mL,少于对照组的(126.32±52.89)mL,术后住院时间为(2.81±1.06)d,短于对照组的(4.96±1.52)d,差异有统计学意义(t=4.129、8.121,P均<0.001);研究组并发症总发生率为4.08%,低于对照组的16.33%,差异有统计学意义(χ^(2)=4.009,P<0.05)。结论改良鼻内镜手术能够加快慢性鼻窦炎鼻息肉患者的术后康复,缩短其住院时间。

Objective To explore the effect of modified endoscopic surgery on patients with chronic sinusitis and nasal polyps.Methods 88 patients with chronic rhinosinusitis and nasal polyps admitted to Dongda Hospital of Shanxian County from October 2022 to October 2023 were selected as the study objects,and they were divided into two groups according to random number table method,with 49 cases in each group.The control group was treated with traditional endoscopic surgery,and the study group was treated with modified endoscopic nasal surgery.The therapeutic effect of the two groups was compared.Results After treatment,the scores of nasal congestion,runny nose,headache and edema in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.001).The intraoperative blood loss of the study group was(87.12±40.23)mL,which was less than that of the control group(126.32±52.89)mL,and the postoperative hospitalization time was(2.81±1.06)d,which was shorter than that of the control group(4.96±1.52)d,and the differences were statistically significant(t=4.129,8.121,both P<0.001).The total complication rate of the study group was 4.08%,which was lower than that of the control group(16.33%),and the difference was statistically significant(χ^(2)=4.009,P<0.05).Conclusion The modified endoscopic nasal surgery can accelerate the postoperative rehabilitation of patients with chronic sinusitis and nasal polyps,shorten their hospital stay.